Remember:
Remember:
Fill out the
when sending
permission slip
be
original artwork,
low & have you
P
r
draw on blank
arent or guar
white paper!
BASF Submission & permission Page
dian
sign it!
Your First Name: __________________________________
Your Last Name: __________________________________
Cal ingal kidsbetweentheagesof6-18!
Sendusyourwritingandartforthenextscienceedition.
Some ideas to get you on your way.
Tell us about your favorite science experiment - show us how it's done.
Draw a picture or write a poem related to science!
Make a puzzle (word search, crossword, maze, match a word
with its meaning, etc.) Don't forget to include the answers!
Fill out the BASF & Kids X-Press Permission Slip.
Be sure to have it signed by your parent or guardian.
Permission Slip
I understand that my child's participation in a BASF & Kids X-Press program or submission of original work to
BASF & Kids X-Press, does not guarantee publication in the BASF & Kids X-Press magazine. I hereby assign to
HEY KIDS,
BASF & Kids X-Press the present and/or future copyright in al works created by my child for any BASF & Kids X-Press
printed or online publications and/or in connection with any Kids X-Press program, throughout the world in any
DON'T FORGET TO
form and in any language. BASF & Kids X-Press shall have the right to use my child's name, photograph, likeness
and work with or without attribution for any and all purposes including entertainment, news, advertising, promotional,
INCLUDE YOUR STUFF
marketing, publicity, trade or commercial purposes. I understand that my and my child's address and phone
WITH YOUR SLIP!
number will be kept confidential.
Child's Name:
______________________________________________ Age: _____
(Print)
Guardian/Parent Signature:
mail us your
__________________________________________________
Date: _________
stuff today!
Address: __________________________________________________________________________
City:______________________________________________ State: __________ Zip: _____________
Molly Rosig
Email: ____________________________________________________________________________
BASF Corporation
Telephone # (optional)
:(_______) ______________________________
100 park ave.
Mail to: Molly Rosig
BASF Corporation
Florham Park, NJ 07932

100 Park Ave. - Florham Park, NJ 07932
Molly.rosig@basf.com
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