Consent Form

Thank you for participating in our study. Please be aware that audio and video recordings will be made of your session, to allow others who are not present to observe your session and benefit from your feedback.

Please read the statement below and sign where indicated. Thank you.

I understand that audio and video recordings will be made of my session. I grant permission for these recordings to be used for teaching and research purposes.

Test User
Place:
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Date:
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Name:
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Date of Birth:
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Signature:
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