Last updated 2/17/2006

To obtain a review copy of the personally identifiable information your child supplied for registration on sprousebros.com please print, complete and submit the following form as indicated.

Please note that if your eMail address and/or postal address do not match the one submitted by your child we will be unable to verify your relationship and we will not be able to provide this information to you.

Please mail this form with a stamped self-addressed envelope to:

Dualstar Online REVIEW
attn: SprouseBros.com Privacy Coordinator
3760 Robertson Blvd.
Culver City, CA 90232

Parent's Name ______________________________________________________

Parent's eMail Address ______________________________________________

Name of Child _______________________________________________

Child's eMail Address __________________________________________________

Parent's Street Address _______________________________________________

__________________________________________________

Please sign the following:

I would like to review the information that my child has provided to you for registration on sprousebros.com.

Please print out and mail me the registration of my child listed above.

Dated: ________________

Signature ______________________________________