Your child has submitted content to be published in Quarterly Magazines, The Dublin & Ghanna quarterlies. We are pleased by their submission. If their work is selected to be published in our next issue of our magazine, we will need your written permission.
In order to proceed, we will need contact information for you, as well as a signed consent form (below).
Parental Consent Form Date
I give Quarterly Magazines permission to publish my child’s creative work in Inspired Buckeye Kids magazine. I understand that my child’s work may be edited for clarity or space.
Child’s name –
Parent name –
Parent phone –
Parent Digital Signature* – Parent Initials –
Please return this consent form, with your digital signature to at email@example.com
By signing this Electronic Signature Acknowledgment Form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Your Digital Signature requires your initials next to your name.