PERMISSION FORM

For consideration given, I hereby authorize the use of my child’s comments about divorce to be posted on the Divorce & Kids web site.

May We Use Your Child's Name With The Quote:

Yes, you have my permission to use my child’s name by the quote.
No, I do not want my child’s name to be used.

I understand that the child’s name WILL NOT be used if the comments are critical of one or both parents.

Permission is granted by:

Relationship to child:

Address:

City:

State:

Zip:

Phone Number:

Date: (DD/MM/YY)

Child's Quote About Divorce