EmailMe Form - Publication Consent Form: The Young Numismatist

Minor Author Information

Name *

First Last

Date of Birth *

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Address

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If different from above.

Email Address

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Parent/Legal Guardian Information

Parent/Legal Guardian Name *

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Relationship to Minor *

Address

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Email Address *

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Details of Publication

Intended Use: The submission(s) may appear in the ANA’s print magazine, online magazine, money.org website, social media platforms, promotional materials, and other media now known or later developed.

Terms of Agreement

1. The minor retains copyright to their original work but may not reproduce the ANA’s designs, templates, or layouts. They cannot use any of the following:

·  ANA's logo is trademarked and cannot be reproduced in your reprints.

·  Images – Any images included in the published articles are not authorized for reuse unless they are in the public domain.

·  Brand Elements – Fonts, colors, and layout specific to ANA's design must not be replicated.

·  Descriptions – Any official ANA descriptions, taglines, or branded content should not be copied or used.

If the any ANA published content is reproduced in any manner, the following verbiage shall be included: "Reprinted with the permission of the American Numismatic Association (money.org)."

2. By signing this form, the parent/guardian grants the ANA a non-exclusive, royalty-free, perpetual license to publish, reproduce, distribute, and promote the submission(s) in print, online, social media, promotional materials, and all other formats now known or later developed.

3. The submission(s) may be edited for grammar, clarity, or length, while respecting the integrity of the work. The ANA reserves the right to decline publication at its discretion.

4. Monetary compensation (if applicable) will be provided under the ANA Author Payment Agreement. If required by law, payment will be made to the parent/guardian on behalf of the minor.

5. The minor’s name (and optional biographical information, if provided) may be published with the submission(s). The ANA will not disclose additional personal information (such as address, phone number, or email) without further consent.

Consent & Acknowledgement

I, the undersigned, am the parent or legal guardian of the minor named above. I have read and understood the terms of publication outlined above. I grant permission for the minor’s work to be published by the American Numismatic Association under these terms.

Parent/Legal Guardian Signature *

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Printed Name *

First Last

Date/Time *

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Minor Signature *

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Printed Name *

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Date Time *

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