I understand that he/she has requested to subscribe to the Service known as UofL.net Remote or UofL.net Remote Plus at the University I have been provided a copy of the UofL.net Remote TERMS AND CONDITIONS and agree that the Subscriber is obligated to abide by these TERMS AND CONDITIONS. I understand that by approving his/her subscription to this Service, the Subscriber may have access to materials on the Internet/World Wide Web which I may deem deem unsuitable, objectionable, or inappropriate for minors. I grant approval for the Subscriber to subscribe to the Service and will take what steps I deem necessary to limit his/her access to sites, content, or services as I see fit.

Service Option Selected

_________ UofL.net Remote - No charge

_________ UofL.net Remote Plus - $8.00 per month fee

If the Plus option is checked, I guarantee payment for those services until such time as the subscription is canceled. Additional details regarding these services are accessible via the Internet/WWW at http://www.louisville.edu/it/dialup.

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Signature of Parent/Legal Guardian Date

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Signature of Subscriber

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Date

Return completed form with any other forms as appropriate to:

UofL.net Computer Accounts
Miller IT Center, Room 109
University of Louisville 40292
or fax to (502) 852-5048