December 10th - Written Gifts

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At Second Star to the Right Books, 1455 S Pearl St, Denver, CO 80210

Email *

Student Name *

First and Last

Student Preferred Name

Pronouns

School *

Age *

Grade *

Parent/Guardian Name *

Parent/Guardian Address *

Contact Phone *

Contact Email *

Allergies? Anything else we should know?

Does your child enjoy writing?

(optional)

Dabbles...

Loves it!

Clear selection

What genres does your child find interesting?

Choose up to 5 (optional)

Poetry

Fiction

Non-Fiction

Comic Books

Songwriting

Mystery Noir

Historical Fiction

Autobiographies

Short Stories

Newspaper/Journalism

Any genres we missed that your child finds interesting

(Optional)

How does your child excel as a writer?

(Optional)

What struggles does your child have with writing?

(optional)

As part of our regular programing, we sometimes take photos, audio and video recordings of children in action as they participate in the classrooms, workshops, Summer Camps, Open Mics, events, etc. We also love to highlight the talent of our young writers by publishing their written work on our website, social media, or in other media. We would like you to indicate below uses of images, audio and video of your child(ren) and written products by your child(ren) as permissible. This is completely up to you. We will only use these in ways in which you agree. With any use of these images, audio and/or video, student names and other personal information will NOT be identified, unless first discussed with the parent or guardian.

Images, audio, and video of my child(ren) may be used as part of Denver Writes pamphlets, brochures, and informational booklets. May be used for newspaper publications announcing programs, events, or activities. may be used at meetings, lectures, and workshops designed to educate donors, volunteers, and the community about activities. may be used on the Denver Writes website and associated digital media sites, and the BookBar website and associated digital media sites.

The written products of my child(ren) may be used as part of Denver Writes pamphlets, brochures, and informational booklets. May be used for newspaper publications announcing programs, events, or activities. May be used at meetings, lectures, and workshops designed to educate donors, volunteers, and the community about activities. May be used on the Denver Writes website and associated digital media sites and the BookBar website and associated digital media sites.

Please do not use ANY images, audio and video of my child(ren) in ANY way.

Please do not use ANY written products of my child(ren) in ANY way.

By agreeing I acknowledge that since participation in publications and websites produced by Denver Writes is voluntary, neither the minor children nor I will receive financial compensation. I further agree that participation in any publication and website produced by Denver Writes confers no rights of ownership whatsoever. I release Denver Writes, its directors, officers, committee members, employees, volunteers, and agents from liability for any claims by me or any third party in connection with my participation or the participation of the below named minor children. I have read the above description and give my consent for the use of the images, audio, video as well as written product as indicated above.

Agree

Disagree

Clear selection

Suggested Donation of $25 *

by PayPal or by Mail

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