Please read the COPPA / BJLP Policy (http://www.bamajlp.com/coppa.php) before completing this form. Once you have read the COPPA / BJLP Policy, please fill out the form below completely. If you have any questions, my full contact information is on the Policy page. Once you have completed the form, please print and sign. Due to verifiability, this form will need to be faxed or mailed via postal mail. The information on this form will NOT be given to any third parties. I will take your original, signed form and place it securely in a filing cabinet. The information on this form will SOLELY be used to give permission to your child to participate in activities on the Bama Junior Livestock Page (http://www.bamajlp.com).

Please fax or mail this form to:
BJLP c/o Audrey McCord
118 Co. Rd. 20 E
Marbury, AL 36051

Phone: 334-202-9664
Fax: 205-280-6844
(Note: Please call before faxing)

Parental Consent Form
Name of Parent (First, Last):
Address:
City:
State: Zip:
Name of Child (First, Last):

By signing this form I am giving Bama Junior Livestock Page (http://www.bamajlp.com) and it's administrators permission to use the following information about the above child (please check all that apply):

Full Name :
(Only first and last name)		 Yes No
Location :
(County or city of residence)		 Yes No
Address :
(The child's full residential address)		 Yes No
Phone :
(The child's residential or cell phone number)		 Yes No
Email Address:
(The child's email address)		 Yes No
Age :
(Will possibly be displayed on showmanship results and/or Points System results):		 Yes No
Hobbies/Other Interests:
(Will possibly be displayed if entered by the child on the Forum Profile and/or MySpot)		 Yes No

By signing this form I agree that Bama Junior Livestock Page (http://www.bamajlp.com) and it's administrators can use the selected above information in the following areas (please select all that apply):

Anywhere on BJLP: Yes No
Photo Gallery: Yes No
Forum: Yes No
Points System (if registered): Yes No
Champions Page: Yes No
Spot Light Page: Yes No
Showmanship Results from Shows: Yes No
Class Results from Shows: Yes No

I agree that I have read the full COPPA / BJLP Policy found at http://www.bamajlp.com/coppa.php

I also agree that if this child's information will be used in any way other than what I have selected above, I will have to give new permission.

 

________________________________
Signature of Parent of Legal Guardian

 

________________________________
Date