To help us create a safe place for kids to talk with other kids, we require parent's/caregiver's permission for kids to send and receive e-mail in the Pen Pal program.

To give your child permission to join in the fun, print out the following page from your Web browser. Then fill out the information requested and send it to the address listed below. If you don't have a printer just fill out the information we need from you on a piece of paper, and write "Find a Pen Pal" on the top.

To give your child permission to become a UFMCC Kids Page Pen-Pal, print out this page from your web browser, then fill out the information requested. You can fax it back to us at 704-547-2682. Or mail it to:

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I am the parent/legal guardian of the child whose name appears below. By signing this, I acknowledge that my child has permission to participate in the UFMCC Find a Pen Pal program and that his/her e-mail address will be made available to other children in the program. For verification purposes, I am providing his/her name, birthdate and e-mail address. I understand that UFMCC/ MCC Charlotte does not rent or sell personal information of registered kids or their parents to outside sources.

Child's FIRST name: _______________

Child's LAST name: ____________________

Child's birthdate: month: ________ day:_______ year:________

Child's e-mail address: ______________________________________________

MCC Congregation: ______________________________

Parent's signature: _________________________________________________

Parent's name (please print): _________________________________________

Parent's e-mail address (if different than child's):

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