FoxAlley.com 12 and Under Parental Permission

Fox Alley.com

Parental Permission to Publish

Please print this page.
If you are twelve or under you need to have a parent fill out this form in order for FoxAlley.com to publish your work.

Parent or guardian: Please print out this form, fill it out, and mail it to FoxAlley.com, P.O. Box 821, Neenah, WI 54957-0821.
We will send a confirmation email to let you know that we have received the permission form. This form will only need to be submitted once. Future submissions of work to be published will need to include child's first name, last initial, date of birth, and name of city or school. We will check to make sure that we have a permission form on file for that child before the work is published.
We cannot accept parental permission forms by e-mail!

Child's first name, last initial: __________________________ City or school name: __________________________

Child's birthday:
(will NEVER be used online) __________________________ Parent's name: __________________________

Parent's e-mail address:
(a complete email address should have 3 parts, as in someone@somewhere.com) __________________________

Child's e-mail address (optional): __________________________

I, _____________________, the parent or legal guardian of _____________________, give my permission for my child to have their writing or artwork published on FoxAlley.com.

Parent's signature: __________________________ Date signed: __________________________

The FoxAlley.com staff works hard to monitor all aspects of the site.
If you have trouble printing out this form or if you have any questions about FoxAlley.com,
e-mail editor@foxalley.com or call Darlene at 729-9230.