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RELEASE and CONSENT =E2=80=93[Name of Y= our Project]
[Your Name] is actively involved in a research project [specify topi= c] and plans to write articles and a book and make conference presentations= detailing insights from that research. As part of this effort he will need= to quote people like you whom I have interviewed. By signing the following= release form you will give [Your Name] permission to cite you in this inte= rview.
AGREEMENT
I (the undersigned) do hereby consent to and grant to <= em>[Your Name] the right to cite my reflections in this taped intervie= w. I understand and agree to ALL of the following in conjunction ther= ewith:
I am over eighteen (18) years of age and have read this release and cons= ent and intend it to be a binding instrument.
Name __________________________________________________________________<= u> &= nbsp; &nbs= p; &= nbsp; &nbs= p; &= nbsp;
Address ________________________________________________________________=
City _____________________________ State __________= ___ Zip Code ___________
Signature _________________________________________ Date _______________= __