The Junior Writers Foundation requires that all
youths under the age of 18 provide written permission from their
parent or legal guardian prior to participation in the Publishing
Program. The following information needs to be completed and signed
by your parent or legal guardian and their permission slip returned
to your school before you will be allowed to participate.
I, the undersigned, the parent/legal guardian of ____________, whom I declare
to be under the age of 18, hereby give permission for my child, ______________
to participate in the Junior Writers Foundation Inc.’s Publishing
Program.
By my signature below, I do release and agree to hold harmless the Junior Writers
Foundation Inc. from and against any and all claims, actions, suits or proceedings
of any kind or nature arising as a result of the participation of my child in
the Junior Writers Foundation Inc.’s Publishing Program and agree to reimburse
Junior Writers Foundation Inc. for any court costs and attorneys fees it incurs
in any such suits or proceedings.
Please check the box below to show how you want your child’s
name published.
I want my child’s first and last name published with their
finished product.
I only want my child’s first name published with their finished
product.
I would like the word ANONYMOUS published with their finished product.
I have carefully read this permission slip and understand its content.
Date:______________________
Parent/Guardian Signature____________________________________________
Parent/Guardian Name (Please Print)______________________________________
School or Institution_________________________________________________
School or Institution Address __________________________________________
________________________________________________________________
