ICCS WEB SITE Certification Application

ICCS WEB SITE Certification Application iWATHCDOG COMMERCIAL WEB SITE / PRODUCT / SERVICE Certification Application

iWatchDog™ Program

Commercial ICCS™ Personal, Product, and Service Web Site Certification Application

SECTION #1

Are you 13 years of age or older? Yes No

PLEASE NOTE: *IF YOU ARE UNDER 13 YEARS OF AGE, YOU NEED PERMISSION FROM YOUR PARENT, LEGAL GUARDIAN OR TEACHER.*

Your application cannot be processed until verification from your parent(s), legal guardian, or teacher, has been confirmed. If you are 13 years of age or older, please skip to Section #2.

Enter your parent's, teacher's, or legal guardian's email address in the box below:
Adult's E-Mail Address

SECTION #2

Rating Type:  New registration  Update of a previous registration

Have you read and agree to the terms and conditions set forth 
in the ICCS™ Certification Terms and Conditions?  Yes   No

If your answer is "NO", please review the two links below...

Terms and Conditions and Content Policy,   
including, but not limited to trademarks and copyrights.

Agreement to these terms is mandatory for qualification 
to get your web site and product/service certified.

Does your web site have a privacy statement posted?  Yes   No

Your Privacy Statement URL:

Would you like to be on our mailing list 
and subscribe to our iWatchDog™ Newsletter?       
        Yes   No

Please specify preferred Newsletter Format [ if applicable ]:

SECTION #3


Please enter amount of contract:	$	(Annual Fee: $1495 per year)

Company / Organization

Company Type

Indicate Product Type:

( if applicable )

Indicate Service Type:

( if applicable )

YOUR URL

E-Mail Address

Web Site Type

Primary Connection

Category

Language

Tell us about your web site...

Note: Be sure to press the Enter key at the end of each line in the Comments Section, so we don't lose anything.

Comments:

SECTION #4

This personal information below is is not shared with any third-party company or organization or sold for any reason. This information is kept confidential and is used strictly to maintain a demographics record of our visitors.

Name

Address 1

[optional]

Address 2

[optional]

City

State/Province

Country

SECTION #5

What Rating System, If Any, Do You Use On Your Web Site Site?

PLEASE BE SURE THE META TAGS FROM ICRA OR SAFESURF ARE PRESENT IN YOUR HTML CODE BEFORE COMPLETING THIS FORM!!
( Otherwise your application WILL be delayed in approval. )

If your web site is NOT labeled with either ICRA or SafeSurf, please click on one of the logos below to get your content of your web site labeled. When you have inserted the META tag which is sent to you, into the HTML of your web page, then you can come back and complete this form.

SECTION #6

Submission of this form signifies your acceptance of this web site's Terms and Conditions and Content Policy, including, but not limited to trademarks and copyrights.

Have have read and agree to this web site's Terms and Conditions
and Content Policy?

Yes No

If your answer is "NO", You can opt/out by returning to Main Menu