Confirmation of Parental Consent

Name your child: _______________________________
Premission granted for publication of essay: Yes _____ No _____

Your child's information as it will appear on the page:

Name of Essay: ________________________________________
First Name of Writer: ______________
Age or Grade Level: _____
Essay Date: ________________

Please initial here that you understand that this information will be published on The Youth Online Club's Kids Essays page. ______

Return Address:
This information is not used on the site in any way.

Child's Full Name: _____________________________
c/o Parent(s) Full Name: _____________________________
Address:
_____________________________
_____________________________
_____________________________
_____________________________

Please review this form and if this information is correct, please sign and return this sheet along with your child's entry (if applicable) to:

The Youth Online Club
c/o Shauna De Feyter
145 Manitou Drive
Sault Ste. Marie, ON
P6B 5K8

_____________________________
Parents Signature

The Youth Online Club does not share any information obtained via contests, essays, newsletters or forum entries with other agencies or companies. In other words, your information stops here and is not given to spammers or the like.

The Youth Online Club only retains the right to reprint your child's essay. We do not own it and cannot use it for any other reasons without your consent.