Modern Manners for Moms & Dads Book Contributor Form

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Thanks for your interest in contributing to our book, Modern Manners for Moms and Dads: Practical Parenting Solutions for Sticky Social Situations! Use the space below to tell us a little about yourself.

Please note: If we're able to include your story in the book, you'll be asked to sign a "contributor release," giving us (and the publisher) permission to use what you've written. Thanks!

Email *

Would you be willing to sign a Contributor Release form giving us permission to use your story in our book? *

Yes

Your name (as you'd like it to appear in the book) *

Your profession or degrees you hold, if you'd like to include them

How many kids you have and their ages (or your role with kids)

Your Parenting Perspective *

Protector

Accommodator

Self-Preserver

Can you give us an example of a time when you were really living out your Parenting Perspective? The more storytelling here, the better! *

Has your Parenting Perspective changed over the years? If yes, how?

Would you be comfortable with us contacting you by phone to talk more about your Parenting Perspective in your day-to-day life? *

Yes

Send me a copy of my responses.

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