I (print names) _________________________________, am the legal guardian of
____________________________.  I give full permission to TnJPoetry, Inc to use my child’s poetry,
picture and filming for all future advertisements, press release or promotional coverage which may
air on several national television programs or at www.tnjpoetry.com.

                       




__________________________________________
Signature                                                


_______________________________
Phone Number


_______________________________
Date

TnJPoetry, Inc
3089 N Tracy Blvd Suite 422
Tracy, Ca 95376
www.tnjpoetry.com
209-830-6991
TnJPoetry, Inc's Permission Slip