Parental Consent

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

I have read and reviewed the above and the Midtown Raleigh News Privacy Policy and I give my permission for Midtown Raleigh News 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