Parental Consent

Please review and complete the information below. Sign your name at the bottom of the form and fax it to The Clayton News-Star at . When The Clayton News-Star 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 The Clayton News-Star to use its services or participate in its surveys, contests or games, The Clayton News-Star, 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 The Clayton News-Star to win a prize, The Clayton News-Star, 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 The Clayton News-Star has a good faith belief that it is reasonably necessary to comply with the law or to protect the interests of The Clayton News-Star, 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 The Clayton News-Star site or of awarding prizes.

I have read and reviewed the above and the The Clayton News-Star Privacy Policy and I give my permission for The Clayton News-Star 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