BOOKSBYCHILDREN SUBMISSION FORM
Please print this one page form, fill in the blanks, and mail to:
BooksByChildren, P.O. Box 122, Argyle, Texas 76226, USA
[Name]_________________________________[Grade]________[Age]_______
[Name of Story or Picture}__________________________________________
[Address]______________________________ Comments:
_______________________________________
_______________________________________ [email if you want to be notified once your story is in the Library]
[School]_______________________________
[Address]______________________________
_______________________________________
[School Principal, Dean, Headmaster, ?]_______________________________
[Teacher]______________________________
By signing below, the author, artist, and parent or legal guardian, agree that BooksByChildren shall have the right to: 1) at its sole discretion modify any story or picture submitted; 2) to publish the story or picture(s) [or the modified form] in any form or media BooksByChildren chooses; and/or 3) use the story or picture(s) [or the modified form] in any form of advertising or promotion BooksByChildren may choose, without the consent of or compensation to the undersigned. The undersigned state and represent that the story(s) and/or picture(s) they are submitting are the author's or artist's original work. Finally, by signing below, you represent that you have read the
Terms and Agreement For Submission, Review and Publishing of Your Story [click here to see it], and agree to the terms it contains.BooksByChildren is not responsible for lost, misdirected, or damaged mail.
AGREED BY THE UNDERSIGNED:
Author/Artist: [Print Name]_____________________________
Author/Artist: [Sign Name]______________________________
Parent or Legal Guardian: [Print Name]________________________________ [Required if less than 18 years old]
Parent or Legal Guardian: [Sign Name]________________________________
IMPORTANT: IF YOU WOULD RATHER NOT HAVE YOUR FULL NAME PUBLISHED, SO NOTE ABOVE NEXT TO YOUR NAME. WE WILL THEN USE ONLY YOUR FIRST NAME, OR INITIALS AS YOU DIRECT.