Parental Consent Form

Community Writers Group of Los Angeles ("CWGLA")

“We See You” Creative Writing Contest

College & High School Freshman, Sophomores, Juniors & Seniors

My signature on this consent below grants permission for my minor child to participate in the CWGLA “We See You” Creative Writing Contest (the “Contest”).

I also acknowledge and agree to the following:

I acknowledge that I have read and understand the Participant Guidelines (the"Guidelines"), and that these Guidelines will bind me and the Participant (named below).

Yes

No

Allow the Participant’s name, age, grade level, school name, image, likeness, voice, videos, and photos, written materials and submissions to be displayed, published, exhibited, in any media, and grant all rights, title, and interest to all materials

Yes

No

Use best efforts to be involved with CWGLA/Snapshots book launch and other promotional events, including any possible winner ceremony, interviews, and publicity events, related to the contest.

Yes

No

I confirm that the Participant is a high school and/or College student in California.

Yes

No

I confirm that any required taxes and/or withholdings in connection with the acceptance of Elise Woodson Scholarship Award or Elise Woodson Education Stipend are the obligation of the Participant and/or Guardian and not the responsibility of CWGLA.

Yes

No

Privacy Disclaimer: Any personal information provided to CWGLA or written and submitted in the Participant’s personal narrative may be used for publication, readings, stage plays, television, film, theatrical interpretation, either in whole or in part, and for administration of the Contest, or as otherwise set forth in the Guidelines. Except where prohibited by law, participation in the Contest constitutes the Participant’s and his or her parent’s/legal guardian’s consent to the storage, use and disclosure of the Participant’s entry details as set forth in the Guidelines or as otherwise determined in CWGLA's reasonable discretion, including the promotion of the CWGLA's mission.

Privacy Policy

Yes

No

Participant Name:

Parent/Guardian Name:

Participant Signature:

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Parent/Guardian Signature:

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Parent/Guardian Email Address:

Participant Email Address:

Parent/Guardian Phone:

Any questions or concerns, please email cwgla.weseeyou@gmail.com or call Ms. Gilkey (213) 709-8523