Parental Consent Form for Minor Authors

I, the undersigned, am the parent or legal guardian of the minor named below and hereby grant permission for their authorship and potential publication of their work.

Minor's Information

Full Name of Minor: Date of Birth: Address:

Parent/Guardian Information

Full Name of Parent/Guardian: Relationship to Minor: Address: Phone Number: Email Address:

Work to be Submitted

Title of Work: Description:

Consent Statement

I confirm that I have read and understood the nature and purpose of the publication. I consent to the collection and use of the minor's information and work as stated. I understand that I may withdraw consent at any time by notifying the publisher.