I attest that I am at least 21 years old, and have read, accept and agree to abide by Nassau OTB's Account Wagering Rules and, if requesting to be enrolled in the Players Club, Players Club Rules. I agree to the use of electronic means to complete and verify my account application. More over, I agree that Nassau OTB will not be responsible to me for funds charged to my account resulting from unauthorized use of the card and/or PIN. I hereby grant NASSAU OTB permission to automatically process any IRS W-2G forms required for reportable winnings. I acknowledge that if I falsify information on this application I may be subject to criminal and civil penalties and forfeit funds on deposit.