Permission to Participate at Groovanauts.com

Instructions for a Parent or Guardian

Please print out this page, sign it and fax it to:
groovanauts.com at

or mail it to :

If approval is not received in 7 days the information will be deleted.

Required Information

User Name:  
Password:  
Email:  

Optional Information

To make changes to the profile information below, please visit this page and enter the username and password:
http://groovanauts.com/board/member.php?action=editprofile
Homepage: http:// 
Signature:  
Privacy Mode:
Selecting 'yes' hides email, ICQ number, AIM ID in profile and also hides you in 'Logged In Users' list.
 
ICQ Number:  
AOL Instant Messenger Handle:  
Yahoo Messenger Handle:  

Please sign the form below and send it to us.

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 a using a password. I understand that I may ask for this registration profile be removed entirely.

Parent/Guardian Full Name:  
Signature:  
Relation to Child:  

Telephone:

 
Email Address:  
Date:  

Please contact webmaster@groovanauts.com with any questions