Jim Wells County Community Network

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Jim Wells County Community Network
Computer & Internet User Registration Form

	I have read the Network's Computer & Internet Users Policies & Procedures, and agree to abide by its provisions.
	I agree to pay any repair or replacement costs of equipment or software damaged by me or by minors for whom I am responsible.
	I understand that the Network and its host sites are not responsible for content or accuracy of any information on the Internet, and are not responsible for any damage caused to personal CD-ROM's or floppy disks.
	I understand that copyright laws restrict duplication of copyrighted software, and I will follow all copyright laws.
	I understand that if I fail to abide by the Computer & Internet User Policies & Procedures, I may lose eligibility for use of the Network's computers.
I am an adult, registering myself
Name

For Minors (ages 15 – 17 years)
I am an adult, registering a child

As parent or guardian of I give permission for my child to use the Network computers with the understanding that I am responsible for monitoring their appropriate use of the computers and Internet, and that I am responsible for any damage that may occur.

Name of Parent or Guardian
Address
City/Town
State
ZIP
Telephone