Consent form for minor's

Consent for submissions for minor children

MARIE LEE

JELLYBEAN JUNCTION

I__________________,give Marie Lee, of Columbia, South Carolina, my permission to publish the work of my child,______________age__________,in the monthly ezine JELLYBEAN JUNCTION. The title of the submission is___________________

I understand that all copyrights remain the property of my child, and JELLYBEAN JUNCTION will in no way, shape or manner, claim any rights to this work.

DATE:____________________________________________
CHILD'S NAME:____________________________________
PARENTAL OR GUARDIAN SIGNATURE___________________
PHONE NUMBER FOR CLARIFICATION IF NEEDED_________

PLEASE NOTE
This agreement must be signed by the consenting parent or guardian of the minor child submitting the work. The work will not be used in JELLYBEAN JUNCTION ezine without first receiving this signed copy. Mail it to:

Marie Lee
7201 Hunt Club Road
Columbia, South Carolina
29223

([e-mail])
([e-mail])

Just run this off on your copier, fill it out completely, and send it to me snail mail. I am looking forward to hearing from you!