A Sanctuary - Contact About Membership

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Contact About Membership -
For those under thirteen (13) years old

Parents, we are fully compliant to the Children's Online Privacy Protection Act (COPPA). Because of this, those under thirteen (13) years old cannot register electronically.

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For general questions please click here.

For questions about copyright violations please click here.

For questions about the site itself please click here.

To contact an Administrator please click here.

For questions from members of the media please click here.

We will comply with your request as soon as possible.

If you are (or your child is) under thirteen (13) please to print out, fill out, and mail a Membership Application.
The Membership Application is for admitance to Your Sanctuary, our inter-active forum.
Those 13 or older are being permitted to register electronically. The Staff is looking into the full legal compliance which can be viewed at COPPA "How to comply with Children's On-line Privacy Protection Act".
Though it is doubtful, if it is determined that those under 18 need consent, the Staff will contact you and advise you further.

Any survivor under eighteen (18), should be working with a counselor and other health professionals. Why? Because sometimes intense feelings that can be brought up, causing you to be overwhelmed or confused.

People can get hurt and broken. Even those that care for the survivor (mothers, fathers, brothers, sisters, aunts, uncles, cousins, or friends) can become overwhelmed, or confused because of the behaviors of the survivor.

We strongly encourage those under thirteen to discuss the forum with an adult they trust.

If you are under thirteen (13) years of age, you can still register by printing this form, and have your parent or guardian sign below.

We verify your account (to the best of our ability) before granting access to the Member Areas of Your Sanctuary .

If your parent was your abuser, the situation may be, um, sensitive (we have to use these words because we don't know if the case is open or closed). Another adult family member that may be "acting" as your guardian may sign the form instead of your parent. Keep in mind that for both the protection asanctuary.net, its affiliates, and you, we will require that a valid phone number for the person "acting" as your guardian be supplied for verification purposes. This may include asking them for a method to verify that they are an adult (such as their date of birth, a credit card number, or other method of verification).

If it is discovered that an account is/was registered with false information, access to the forum will be revoked.

PRINT THE AREA BELOW THIS TYPE

FOLD AND TEAR PAPER HERE
-------------------------------------------------------------------------------------------------------------------------------------
Preferred Username : ___________________________
(seen only by you and administrators)

Valid email address : ___________________________

Desired Display Name : ___________________________
(this is the name other members see)

Age of Applicant : __________

Gender of Applicant : __________

Regional Area of Applicant : ___________________________

Type of Application (please specify):
Survivor of abuse : _____ Supporting Member : _____ (those that are living with, or have a relationship with a Survivor)

***********************************************************************************

We strongly encourage parents or guardians to become Supporting Members.

As a Parent / Acting Guardian I am interested in being a Supporting Member : Yes / No

If Yes:
we ask that you submit the following additional information.

My Preferred Username : _________________________ _

My valid email address : ___________________________

My Desired Display Name : ___________________________
(this is the name other members see)
My Age : __________
My Gender : __________
My Regional Area (may be different) : ___________________________

***********************************************************************************

(This information is only used for the purpose of verifying an account. It will NOT be enter into a database)

First and Last Name of Parent : __________________________________________________

Signature of Parent / Acting Guardian : ___________________________________________________

Name of country you live in : _____________________________________
(if you live outside the United States)

Phone number of Parent / Acting Guardian : __________________________________________________
(please include Country code, City code, and language if you are outside the United States)

Date : ______________________

======================== FOR OFFICE USE ONLY ========================

Parent telephoned : Yes / No (if Yes, Date _____________ Time _____________ Our time _____________ )

If No, call back for verification on : Date _____________ at: Time _____________ Our time _____________

Parental contact made : Yes / No

If Yes, Explain a secret word must be used to verify any request in the future, or they will be called.

Does parent want secret word : Yes / No

If Yes, write secret word here: ______________________________________________

Parent has read and understands the Terms Of Use : Yes / No

If No, call back for verification on : Date _____________ at: Time _____________ Our time _________ ____

Parent understan ds what is discussed on forum : Yes / No

Parent granted permission for above username to become a member : Yes / No

Parent granted permission for above username to access Sexual Abuse boards : Yes / No

Parent understands that they can deny permission for the user above to use this forum at anytime : Yes / No

Parent understands that they can email yoursanctuary staff@gmail.com to remove the username above. Yes / No

Parent understands that within 24 hours of receiving an email denying access AND that email contains the secret word, the user above will be banned (denied access to the forum). Yes / No

Parent understands that we may call to verify their request IF they do not set up a secret word. Yes / No

FOLD AND TEAR PAPER HERE -------------------------------------------------------------------------------------------------------------------------------------

Please mail Membership Application (through "regular" mail) to:
YSF
PO Box 2021
Winston, OR 97496-2021
Attn: Membership
(All applications are processed upon receipt)

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