Permission to Participate at:
Coachella Valley Music & Arts Festival Message Board

Instructions for a Parent or Guardian

Please print out this page, sign it and fax it to:
Goldenvoice at 323-930-5799

Or mail it to:
5750 Wilshire Blvd, Suite 501 - Los Angeles, CA 90036

If approval is not received in 7 days the information will be deleted.

Required Information
User Name  
Email Address  
Optional Information
To make changes to the profile information below, please visit this page and enter the username and password:
http://www.coachella.com/forum/profile.php?do=editprofile
Home Page http:// 
Signature  
Privacy Mode
Selecting 'yes' hides email, ICQ number, AIM ID, Yahoo ID and MSN ID in profile and also hides you in 'Logged In Users' list.
 
ICQ Number  
AIM Screen Name  
Yahoo! Messenger Handle  
MSN Messenger Handle  
Skype Name  
Please sign the form below and send it to us.

I have reviewed the information my child has supplied and I have read the Privacy Policy (http://www.coachella.com/more/privacy) for the web site. I understand that the profile information may be changed by a using a password. I understand that I may ask for this registration profile be removed entirely.
Parent / Guardian Full Name  
Relation to Child  
Telephone Number  
Email Address  
Signature  
Date  
Please contact the webmaster with any questions