Please fill out the following information for the Write Stuff contest. All fields must be completed in order for your submission to be considered. Both the student and parent/guardian are required to consent by typing your names into the fields below. 

Child Consent:
By typing my name and today's date below I agree that I have read the contest rules and agree that my submission is my own original work. I understand that my entry must reflect my own experiences, words and reflections (other than cited quotes and material). I understand that my entry may be displayed, in whole or in part, in print publications and on www.gck.org.

Parent Consent:
By submitting my electronic signature below, I give consent for my child’s participation in Gilda’s Club Kentuckiana’s Write Stuff Contest. I understand the goal of this program is to offer the chance to express oneself creatively while on a cancer journey. I understand that my child’s entry may be displayed, in whole or in part, in print publications and on www.gck.org.