Appendix F: Publications Release

DO-IT Publications Release
University of Washington

I, ______________________________________________________________________ (First and Last Name of Participant), hereby give DO-IT (Disabilities, Opportunities, Internetworking, and Technology) and DO-IT project partners the right and permission to copyright, distribute, sell, broadcast, duplicate, exhibit, and/or use film, audiotape, photographs, printed information, and/or drawings of me without limitation for general education, information dissemination, and research purposes in videotapes, audiotapes, and printed publications and on the World Wide Web. I give DO-IT permission to publish information including, but not limited to, my first and last name, email address, city and state of residence, name of school, disability, age, and interests.

I hereby waive any right to inspect or approve the finished publication or the eventual use for which it might be applied.

Signature of Participant: __________________________________________ Date: __________________

For participants under 18 years of age, please have a parent/guardian complete the following:

Parent/Guardian Permission Statement

I hereby certify that I am the parent or guardian of __________________________________________ (Name of Participant)

I agree to the statements above.

Printed Name of Parent/Guardian: __________________________________________

Signature of Parent/Guardian: __________________________________________ Date: __________________