SUBMISSION FORM

I HEREBY UNCONDITIONALLY GRANT MY PERMISSION AND CONSENT TO YOU TO COLLECT AND TRANSFER TO THIRD PARTIES (EDITING SPONSORS, JUDGES, ETC.), ANY OF MY CHILD’S PERSONALLY IDENTIFIABLE INFORMATION AND WORK WHICH HE OR SHE MAY PROVIDE TO YOU FOR THE PURPOSE OF REVIEW, EDITING AND POSSIBLE PUBLICATION AT BUGGLESBEE PUBLICATIONS AND ITS AFFILIATES.  I HEREBY STATE AND AFFIRM THAT I AM THE LEGAL GUARDIAN OR PARENT OF THIS CHILD AND THAT I AM OVER THE AGE OF 18 YEARS OLD.

I HEREBY UNCONDITIONALLY GRANT MY PERMISSION AND CONSENT TO BUGGLESBEE PUBLICATIONS THE UNLIMITED PUBLICATION (IN TOTAL OR EDITED) OF ANY SUBMISSIONS AND THAT THEY MAY BE USED IN ANY CURRENT OR FUTURE ADVANCES IN THE STATE OF COMMUNICATION THAT MAY BE DEVELOPED FOR BUGGLESBEE PUBLICATIONS.

I understand that I may choose to have my child’s first name omitted from publication by prominently stating this on my child’s submission next to their name.  I understand that if an actual name is not used, a pen name must be provided.  I understand that it is Bugglesbee Publications’ policy to not publish any minor child’s last name in any Bugglesbee Publications magazine.

Child’s name: __________________            Child's age: _____

Child’s pen name (No last names): ______________________

Address: ___________________________________________________________

Parent’s Phone Number: ________________________

Parents’ Email: ____________________________________

Parent/Legal Guardian name: _________________________________________

Parent/Legal Guardian Signature: _________________________________________

Date: _______________

Please forward this form and your child’s work by mail, fax, or email to:

The Kids’ Forum

C/O Bugglesbee Publications

P.O. Box 4486

Marietta, GA 30061-4486

Fax: 678-581-3707

Email: submissions@thekidsforum.com

Phone: 678-754-2474