Parental Permission Form for Literary Submission

 

Student name:
Email address:
Student grade level: 
Name of course completed with Online Scribblers  

Title of Submission #1:  
Type of Submission #1        
Title of Submission #2:
Type of Submission #2        
       
Release Form for Student Work to be displayed in The Student Scribbler Literary Magazine

Online Scribblers advocates the sharing and celebration of student learning and achievement. To accomplish this goal, we publish student work that demonstrates learning and enthusiasm for writing among a variety of genres. We request permission to display your childís work. Your signature below acknowledges permission for Online Scribblers to display your childís work in the Student Literary Magazine.  

I am the parent/legal guardian of the student named above. I have read the information regarding the electronic display of student work and agree to the following:  
(Please check the appropriate box below.)  

  Full Name Permission: I give permission for my childís work, which will be accompanied by the childís full name (first and last) and grade, to be published and displayed in The Student Scribbler Literary Magazine. I hereby release Online Scribblers from any liability resulting from or connected with the publication of such work.    

First Name Only Permission: I give permission for my childís work, which will only be accompanied by the childís first name and grade, to be published and displayed in The Student Scribbler Literary Magazine. No last name will appear on any materials that are displayed. I hereby release Online Scribblers from any liability resulting from or connected with the publication of such work.  

I do not give permission for Online Scribblers to display my childís work.

 
Parent or Guardian Electronic Signature                      Date    


All submissions should be emailed to info@sandiegoscribblers.com by May 1, 2016.