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In compliance with the COPPA act your account is currently inactive.

Please print this message out and have your parent or guardian sign and date it. Then fax it to:



OR mail it to:



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Permission to Participate at Cemetech

Username: Spyro543
Password: <removed from paste :P>
Email: <removed from paste :P>

ICQ Number:
AIM Address:
MSN Messenger:
Yahoo Messenger:
Web Site: anova.57o9.org
From: Ohio
Occupation:
Interests: TI-BASIC programming

I HAVE REVIEWED THE INFORMATION PROVIDED BY MY CHILD AND HEREBY GRANT PERMISSION TO Cemetech TO STORE THIS INFORMATION.
I UNDERSTAND THIS INFORMATION CAN BE CHANGED AT ANY TIME BY ENTERING A PASSWORD.
I UNDERSTAND THAT I MAY REQUEST FOR THIS INFORMATION TO BE REMOVED FROM Cemetech AT ANY TIME.


Parent or Guardian
(print your name here): _____________________

(sign here): __________________

Date: _______________

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Once the administrator has received the above form via fax or regular mail your account will be activated.

Please do not forget your password as it has been encrypted in our database and we cannot retrieve it for you. However, should you forget your password you can request a new one which will be activated in the same way as this account.

Thank you for registering.