Participant Release Form

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Participant Release Form
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(No Transcript)
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The Participant Release Form is to be completed
by all new program participants. Ask your
participants to fill out this form at or before
the first class.
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First we will explore the top portion of the
Participant Release Form.
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Participants should leave this blank!! It will
be completed by the Arthritis Foundation.
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Please note that items that are bold with an
asterisk are REQUIRED items. These include
First and last name street address city state
zip signature and date.
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Participants should include their contact
information here. First and last name street
address city state and zip are all required.

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Next we will go over the middle portion of the
Participant Release Form.
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Participants can let us know their privacy
preferences.
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These are the privacy questions and are OPTIONAL.
However, we encourage everyone to answer these
questions. Note An e-Advocate helps promote
the public policies, which are important to
people with arthritis, by communicating with
their Members of Congress and local media
outlets. 
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These questions are optional and help the AF to
better understand and market to its constituents.
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Now we will go over the bottom portion of the
Participant Release Form.
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It is very important that participants sign the
release form. The signature and date are
REQUIRED.
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Participants should enter the date that they
signed the form. Example January 20, 2009 would
be entered as 01 20 - 2009
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Be sure participants see page two!
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This is page 2 of the Participant Release Form.