Parent Permission Form - New Moon Girls

Parent/Guardian Permission Form Upload

"*" indicates required fields

Child's First Name*

Child's Email Address*

Parent or Guardian's First Name*

Parent or Guardian's Last Name*

Parent/Guardian Email*

Parent/Guardian's Phone Number*

Mailing Address*

Attach Signed Permission Form*

Max. file size: 2 GB.

Attach a photo or scan of the last page of the signed permission form

Parent/Guardian Permission*

I grant New Moon Girl Media permission to use my child’s contributed content publicly, and without compensation, on its websites, in its publications, newsletters, and in promoting NMG. I also grant New Moon Girl Media permission to edit their contribution for publication and/or other use.

Contribution Agreement*

I understand that 1) New Moon Girl Media receives many contributions and cannot reply to questions about individual contributions and 2) New Moon Girl Media will notify me if my child’s contribution will be used.

GDPR Notice*

I consent to having this website store my submitted information so they can respond to my inquiry.

By checking this box you confirm you are over age 18 and authorized to give consent

Yes