Digger Cameo

Entry Form

Write Like a Pirate

Story Contest

Entry Form – 2013

 

Child’s Name:    _________________________________    Age at Time of Entry ______

Street Address: __________________________________________________________

City, State, Zip: __________________________________________________________

Parent Email:    ___________________________________________________________

Title of Entry:   __________________________________________________________

 

If my child’s work is chosen for internet publication by ZonderKidz or denettefretz.com, I give my permission for the following information to be displayed with the work (must check one):

    

 _____ First Name, Age, and State                   _____ First and Last Name, Age, City, and State

 

I have reviewed the rules of the contest. The submitted entry, with the above title, is the original, unpublished work of the child which has received no previous awards. I grant ZonderKidz and denettefretz.com the right to use the submitted entry,  accompanying illustrations, and child’s information as checked above, for any and all advertising and promotion. I give any and all right, title, interest, and copyright of submitted works to ZonderKidz and denettefretz.com.

 

_________________________________          _________________________________

Child’s Signature                                                     Parent or Guardian’s Signature              

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