Interview Consent Form

Please complete all the boxes

1. Your email

2. Are you over 18 years old?

Yes

3. Do you agree to be recorded (video/audio) and interviewed?

Yes

4. Do you give permission for your image, voice, and likeness to be used publicly (e.g. social media, websites, media platforms)?

Yes

DECLARATION

I confirm that:

– I am participating voluntarily.
– I waive any right to compensation.
– I understand this content may be used publicly.

Type your name below as your electronic signature.

5. Signature (type your full name)

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