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
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TnJPoetry, Inc's Permission Slip
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