Parental Consent is Necessary
Since members to New Moon Girls are under 18, they are required to have a parent or guardian fill out a parental consent form. This helps keep the parents informed of anything their daughter is doing on the New Moon Girls Web site.
Dear Parent / Guardian:
Your daughter has expressed interest in participating in New Moon Girl Media’s magazine or online communities by applying to one of our girl boards and/or submitting content to one of our products. We’re so excited that your daughter is interested in sharing her voice with other girls and the world!
Before we can move forward, we need your consent for your daughter’s participation in New Moon activities. To facilitate New Moon’s communication with your daughter, we will ask her to provide her full name, email address, postal address, phone number, age / birth date, and/or her preferred screen-name. New Moon Girl Media stores this information for follow-up communication with your daughter regarding the status of her submission or application. New Moon Girl Media does not share this information with anyone outside of New Moon, nor do we ever post a girl’s identifying information on our web communities. If your daughter’s work or application is accepted by one of New Moon Girl Media’s web communities, we will post it using a screen-name of your daughter’s choosing (we suggest her screen name be other than her first name, and it MUST NOT contain her last name), her age, and her state. New Moon magazine may print a girl’s name, age, city, and state, but never all at the same time (for example, if we print a girl’s last name, we will not print her city). New Moon magazine never prints full addresses or email addresses.
Thank you for supporting your daughter as she uses her voice—we’re so pleased to have her as a part of our community!
Nancy Gruver, New Moon Girl Media Founder
(Parent’s Signature) (Today’s Date)
(Daughter’s Name & Birthdate)
Please send this form, signed and completed, to
New Moon Girl Media: Consent Forms
2 W. First St. #101
Duluth, MN 55802
Fax it to 218-728-0314, or sign, scan, and email it to firstname.lastname@example.org
Please help your daughter fill in the required information to accompany her submission or application.
Girl’s Full Name: _____________________________________________________________________
Girl’s Birthdate (including year): ____/_____/_________
Girl’s Postal Address: _________________________________________________________________
Girl’s City: __________________________________ State: ________ Zip Code: _________________
Girl’s Phone Number: _________________________________________________________________
Girl’s Email Address: _________________________________________________________________
Parent(s) / Guardian(s) Names: _________________________________________________________
Parent Email Addresses: _______________________________________________________________
Submission Name (if applicable): ________________________________________________________