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Parental Consent

INSTRUCTIONS: Please review and complete the information below. Sign your name at the bottom of the form and fax it to THE MODESTO BEE at (209) 578-2207. When The Modesto Bee receives and processes your consent form, we will activate your child's account. If you have any additional questions, please feel free to call us at (209) 578-2227.

I, _________________________________ , hereby certify that I am the parent and/or

lawful guardian of _________________________________ .

My child's Account Identity is . I understand and agree than when my child registers with The Modesto Bee to use its services or participate in its surveys, contests or games, The Modesto Bee, or its authorized agents, may collect and maintain certain personal information about my child, including:

* First and last name

* Gender

* Parent's e-mail address

* Birthdate

* Telephone number

I also understand and agree that if my child registers with The Modesto Bee to win a prize, The Modesto Bee, 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 Modesto Bee has a good faith belief that it is reasonably necessary to comply with the law or to protect the interests of The Modesto Bee, 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 Modesto Bee site or of awarding prizes.

I have read and reviewed the above and the The Modesto Bee Privacy Policy located at and I give my permission for The Modesto Bee to collect, use and disclose personal information about my child in accordance with the terms stated therein.


Parent's Signature