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This document is a consent and release form allowing Wisconsin is Better Smoke-Free to use the likeness, voice, and testimonials of participants for promotional purposes.
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How to fill out consent and release form

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How to fill out Consent and Release Form

01
Obtain the Consent and Release Form from the appropriate source.
02
Read the instructions carefully to understand the purpose of the form.
03
Fill in your personal information in the designated sections, including your name, address, and contact information.
04
Specify the purpose of the consent, detailing what rights you are granting.
05
Review any potential risks or outcomes associated with granting consent.
06
Sign and date the form in the provided space to indicate your agreement.
07
If required, have a witness or notary public sign the form to validate it.

Who needs Consent and Release Form?

01
Individuals participating in research studies or clinical trials.
02
Artists or performers whose work will be recorded or photographed.
03
Organizations seeking to use someone's likeness or personal information for promotional purposes.
04
Parents or guardians providing consent for minors to participate in activities.
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People Also Ask about

The information provided on this form is used to record consent for the institution to disclose personal information about another individual to you or your authorized representative in response to a personal information request. It is collected under the authority of sections 8(1) and 13 of the Privacy Act.
If you prefer to write your own consent document, you may do so, but be sure to include all required elements of informed consent.
Some of the crucial information in a release includes: Name of the parties involved, i.e., releasor and releasee. Detailed information about the project. Explicit information of the permissions granted. Any special considerations, including payment obligations or credit, if any. A space for all parties to sign.
To ensure informed consent, a consent form must include the following: A statement of activity. The purpose of the activity. Procedures. Risks to the participant. Benefits to the participant. Cost of participation. Confidentiality. Voluntary participation.
All sections of the consent form, except the "Consent" section, should be written in second person ("You are invited"). Headers should include “Informed Consent” followed by the title of the study (e.g., the header in this document). Footers should include page numbers.
By signing a consent form, the client acknowledges their understanding of the treatment and the risks involved and gives their informed consent for the service to proceed. Release forms are legal documents that limit the spa from liability in case of unforeseen consequences that may arise during or after the treatment.
I agree to take part in [describe what involvement the individual will have e.g. an interview] and for the information I provide to be shared with the [area] Partnership agencies and this in turn allows services that I use to share information about me and my family for the purpose of this [research / activity].

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A Consent and Release Form is a legal document where an individual gives permission for their personal information or image to be used for specific purposes and releases the organization from liability.
Individuals participating in activities such as photography, video recordings, or any situations where their personal information may be used commercially are typically required to file a Consent and Release Form.
To fill out a Consent and Release Form, you should provide your personal details, specify the nature of the consent being given, sign and date the document, and, if applicable, have a witness signature.
The purpose of a Consent and Release Form is to obtain legal permission from individuals to use their images or information and to protect the organization from potential liability related to that use.
The information reported on a Consent and Release Form typically includes the participant's name, contact information, a description of the consent granted, the purpose of use, and signatures of both the participant and the authorized representative.
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