Parental Consent

Please review and complete the information below. Sign your name at the bottom of the form and fax it to Garner-Cleveland Record at 919-861-1300. When Garner-Cleveland 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 1-800-867-5309.

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-Cleveland Record to use its services or participate in its surveys, contests or games, Garner-Cleveland 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-Cleveland Record to win a prize, Garner-Cleveland 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-Cleveland Record has a good faith belief that it is reasonably necessary to comply with the law or to protect the interests of Garner-Cleveland 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-Cleveland Record site or of awarding prizes.

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

___________________________________________

Parent's Signature

___________________________________________

Date