SEORF Registration and Release Form

To receive an account, read the Disclaimers and Other Policies available online then fill out ALL of the information requested. If you do not fill out all lines, you will not get an account. Note that you must be a resident of our regional access area to get an account.

Please fill out, print, and sign the form below. Send your completed form - ALONG WITH A STAMPED SELF-ADDRESSED ENVELOPE to:

SEORF
c/o David Kurz
Radio-TV Bldg.
Ohio University
Athens, OH 45701-0887

(Check One)

Please reset my password on the SouthEastern Ohio Regional Freenet.
If you checked box #1 please write your login
I am applying for an account on the SouthEastern Ohio Regional Freenet.
I am applying for a vanity account (and am including a check to SEORF for $25).
Vanity account name:____________________ (example: johndoe@seorf.ohiou.edu)

My name and home address (PO boxes not acceptable) are:

Name:
Address:

Home Phone:
Identification Code Word*:
* This special code word will allow us to accurately identify you in the event you lose your password or need some other assistance with your account. DO NOT USE YOUR PASSWORD FOR THIS CODE!

If Applicable

School/Business Affiliation:
Grade/Position:
Phone:

Notice: The SouthEastern Ohio Regional Freenet (SEORF) its administrators or officers may elect to electronically monitor the SEORF service/system and may disclose any content or records to satisfy any law, regulation or other governmental request or to properly operate SEORF and protect its members. SEORF reserves the right at its sole discretion to review, edit, or refuse to post any material or information. SEORF reserves the right to remove any *public* content that it deems in its sole discretion to be unacceptable or undesirable.

By signing below I certify that I am 18 years of age or older.
Users under the age of 18 should delete or scratch out the line above and must include the signed parental release form below.
I have read the release form agreement and SEORF Disclaimers and Other Policies provided on the system and I agree to abide by all of the rules and regulations contained within, as well as future revisions of these documents.
I further state that all information provided for the creation of this account is truthful and accurate.
Evidence to the contrary may result in immediate loss of account privileges.

Signed, ______________________________ Date:_______________

REMEMBER TO INCLUDE A SELF-ADDRESSED STAMPED ENVELOPE, FILL IN ALL OF THE INFORMATION REQUESTED, AND INCLUDE THE ENTIRE FORM OR YOU WILL NOT GET YOUR ACCOUNT!

PARENTAL/GUARDIAN RELEASE FORM

I understand that my son or daughter is applying for an account on the SouthEastern Ohio Regional Freenet (SEORF).I have read the release form agreement and SEORF Net Etiquette Guidelines provided on the system and understand that my son/daughter has agreed to abide by all of the rules and regulations contained within, as well as any future revisions of that document.

I understand the nature and content of material available via the Internet. By signing below I acknowledge complete responsibility for supervision of my son/daughter's use of SEORF.

Signed, ______________________________ Date:_______________

PLEASE note the requests for a Self-Addressed Stamped Envelope (with current postage) and completion of the ENTIRE form (every single line).

Thank you!

Parent's Name:
Address:

Home Phone:
My son/daughter will reach the age of 18 on