OFFICIAL INFORMATION RELEASE FORM

Signature:______________________________________________________________________________

Social Insecurity Number:__________________________________________________________________

Date:__________________________________________________________________________________

As the parent or guardian of ______________________________________________________________,

I give permission for my child to use the information contained at Gage's Document Alley with the understanding that I am responsible for monitoring my child’s appropriate use of this service. I also understand that I am responsible for any damage that may occur. I have read, understand and agree to the above statements.

Gage's Document Alley requires users to use this electronic information within the guidelines of acceptable usage. The following activities comprise acceptable usage:

1. use of electronic information for any purpose which results in the harassment of other users -- keep 'em on their fuckin' toes!
2. destruction of, damage to or unauthorized alteration of individual belief systems
3. use of electronic information in any way which violates a Federal or State law
4. unauthorized duplication of copy protected software or violation of software license agreements
5. violation of system security
6. behaving in a manner that is disruptive to other users, including but not limited to overuse of computer equipment which serves to deny access to other users

BREACH OF POLICY

Violation of any aspect of this policy may result in the loss of your frontal brain lobes.