Parental Consent

Please review and complete the information below. Sign your name at the bottom of the form and fax it to Garner-Clayton Record at . When Garner-Clayton Record receives and processes your consent form, we will activate your child's account. If you have any additional questions, please feel free to call our toll-free number at .

I, __________________________, hereby certify that I am the parent and/or lawful guardian of ____________________________.

My child's Account Identity is _______________________________. I understand and agree that when my child registers with Garner-Clayton Record to use its services or participate in its surveys, contests or games, Garner-Clayton Record, or its authorized agents, may collect and maintain certain personal information about my child, including:

• First and last name
• Gender
• Parent's email address
• Birthdate
• Telephone number

I also understand and agree that if my child registers with Garner-Clayton Record to win a prize, Garner-Clayton Record, or its authorized agents, may collect my child's shipping address in addition to the above-described information.

I further understand and agree that the above-described information will not be disclosed to third parties unless Garner-Clayton Record has a good faith belief that it is reasonably necessary to comply with the law or to protect the interests of Garner-Clayton Record, The McClatchy Company or others; except that such information may be provided to authorized third parties for the purposes of providing the services available on the Garner-Clayton Record site or of awarding prizes.

I have read and reviewed the above and the Garner-Clayton Record Privacy Policy and I give my permission for Garner-Clayton Record to collect, use and disclose personal information about my child in accordance with the terms stated therein.

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Parent's Signature

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Date