Creative Writing Permission form 2015-16

2015-2016 CGA

Creative Writing Competition
Permission Form

This form must be filled out for the entry (1st place or honorable mention) to be published in the book. If you wish to purchase a book, you may do so after submitting this form. No purchase necessary.

If a student has qualified with more than one entry, the parent only needs to fill out this form one time.

Student name

First NameLast Name

Student grade

Permission to be included in the book.

I give permission for the Coppell Gifted Association to publish my child's submission(s) in the Creative Writing Competition book containing those entries that received a 1^st Place or Honorable Mention. Additionally, I understand that CGA may promote this book and the competition through newspapers and other public forums. These publications may contain the student's name, grade and school.

Publication Release*

Yes, you may publish my child's entry in the book.No

Parent name

Parent email

Parent phone

Area CodePhone Number

Photography release

I give permission for my child to be photographed for editorial, promotional and/or audiovisual presentations by CGA.

Photography Release*

YesNo

Parent name

Parent email

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