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First, you'll need to get your parent's permission before you join KidsPanel.com. Have your parent fill out this permission form and fax or mail it to us.

Next
, fill out the form below to become a member of KidsPanel.com. 

Then, when we need your input, we will email you with a link to a survey. When you complete the surveys, you will be rewarded with cash and prizes. This form will only take about 5 minutes to complete, and your responses will remain STRICTLY CONFIDENTIAL. 

Thanks for your time and welcome to the team!


1. Are you a...
Kid
Parent

2. Are you a...
Boy
Girl

3. What do you like to do for fun?
Go to a Sports Event
Go to the Movies
Go to a Concert
Go to an Amusement Park
Go to the Zoo
Go on a Camping or Backpacking Trip
Play a Sport
Watch TV
Rent a Video/DVD
Play a Video Game
Play a Board Game
Collect Baseball Cards or Action Cards
Ride a Bike
Go to the Mall / Shopping Center
Go Skiing / Snowboarding
Go Rollerblading
Go Skateboarding
Read a Book

4. How many hours do you use the Internet each week?
None
Less than 1
1 - 5
6 - 10
11 - 20
More than 20

5. How many hours do you spend watching TV each week?
None
Less than 1
1 - 5
6 - 10
11 - 20
More than 20

6. What is your first name?

7. What is your last name?

8. What is your email address?