Permission to Participate at the Wizzard HO Bulletin Board | |
Instructions for a Parent or Guardian |
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Please print out this page, sign it and FAX it to: 1-814-623-1540 or mail it to Wizzard HO Admin., c/o Wizzard High Performance, Inc., 148 Deer Oak Lane, Bedford, PA 15522 If approval is not received in 10 days the information will be deleted. For more information contact
joeslotz@yahoo.com |
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Here is the required information supplied with this registration request: |
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| User Name | |
| Password | |
Information supplied below is optional. Please review it carefully. |
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To make changes to the profile information below, please click here and enter the username and password. |
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| City, State, Zip Code | |
| Country | |
| Interests | |
| Homepage | |
| Signature | |
| Allow Bulletin Board Administrators and Moderators To Send You Email Notices? | |
| Keep your email address viewable to other users when you post notes? | |
| ICQ Number | |
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Please sign the form below and send it to us. [see instructions above] |
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YES: I have reviewed the information my child has supplied and I have read the Privacy Policy for the web site. I understand that the profile information may be changed by using a password. I understand that I may ask for this registration profile be removed entirely. |
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Parent/Guardian Full Name |
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Signature |
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Relation to Child |
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Telephone |
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Email Address |
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| Date |
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| Online Request Date | [available for online registration only] |
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Please contact joeslotz@yahoo.com with any questions |
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