THE TEXAS STORYTELLING YOUTH OLYMPICS Application and Permission Form
Mail entry forms to: David Thompson - C/M 801 St Edwards University 3001 South Congress Austin, Tx 78704	Phone (512) 448-8720

Name of Participant (as you wish it to appear in any press release):___________________________

Age Sept. 1:________School:___________________________________________Grade:______

City:_______________________________________Teacher:____________________________

Title of Story:___________________________________________________________________

Author (if applicable):_____________________________________________________________

Source(s) of Story:_______________________________________________________________

Length of Story (in minutes):        5–6____         6-7____        7-8____        8-9____        9-10____ 

Mailing Address of Participant:______________________________________Apt. #:____________

City:__________________________________________________,  TX        ZIP:_______________

Telephone:___________________ E-mail address:

Parent or Guardian (Please print):________________________________________________________

Address, if different from above:__________________________________________________________

Permission:

_____  My child has permission to compete in the Texas Storytelling Youth Olympics, October 15, 2005,  at St. Edwards University in Austin Texas..

_____  I understand that portions of the TSYO will be videotaped and that the videotape will be used for a variety of future storytelling purposes. I give permission for my child to appear in this tape

_____  I understand that photos will also be taken on the day of the event, and I give permission for photographs in which my child appears to be used for promotion and other future storytelling events.

Signature of parent or legal guardian: ______________________________________________________