Agreement for Reinstatement of Account Created on Behalf of a Minor

I confirm that I created a Twitter account on behalf of ________________________ [referred to below as “the
current account holder”] when s/he was a minor, and that I operated this account, and the account remained in my
full control, until the current account holder reached at least 13 years of age.
I confirm that throughout this period I was (and remain) an authorized adult representative for the current account
holder.
The Twitter username I operated on behalf of the current account holder is _______________________.
The current age of the current account holder is __________________.
I am requesting that Twitter reinstate this account on behalf of the current account holder.
I confirm that I have reviewed Twitter’s Terms of Service located at https://twitter.com/tos, Twitter’s Privacy Policy
located at https://twitter.com/privacy, and Cookie Use located at https://help.twitter.com/rules-and-policies/twitter-
cookies and consented to those provisions (or their preceding versions, if applicable) at all times while creating and
operating the account above on behalf of the current account holder.
Date: ________________________________
Authorized Adult Representative Signature: ________________________________
Name/Relationship of Adult Representative (Print): ________________________________________
Email Address of Adult Representative: ___________________________________________
Telephone Number: ________________________________________