Information Release Form

This form is intended to insure the privacy of all individuals associated
with the investigation conducted on ____________________ at the location
owned by ___________________________. All personal information connected
to this investigation will be kept confidential by researchers. Use of
this form is to allow permission from those involved with the investigation
to grant the use of the location on our website, in books or in future
media venues.

All information that is released will only be used on the condition that
the identity of the witnesses and clients are protected and the exact location
of the site is not used.

Other comments and requests:
_____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________

Signed _____________________________ Date ___________
(property owner and / or witness)