Consent* By checking the box below, I acknowledge that I have read the release and fully understand the contents, meaning and impact. I agree to follow all the above stipulations of this program as well as any other conditions as instructed by the Program Coordinator at this time or in the future. (If the participant is a minor (under age 18) the parent or legal guardian must agree to the conditions outlined here).
By clicking “submit,” I provide my signature expressly consenting to contact from NCCS or its subsidiaries, affiliates, or agents at the number I provided regarding products or services via live, automated or prerecorded telephone call, text message, or email. I understand that my telephone company may impose charges on me for these contacts, and I am not required to enter into this agreement as a condition of purchasing property, goods, or services. I understand that I can revoke this consent at any time.
