I understand that the Arnold DNA Study is a project to genetically test, by commercial means, the Y-chromosomal DNA of participants and to compare the results with those of Arnold or variant surnames. I understand and accept the possibility that my Y-chromosomal DNA will not match that of others.
In consideration of the right to participate in the Arnold DNA Study, and with full knowledge of these possibilities as outlined above, and intending to be legally bound, I hereby agree for myself and on behalf of my family and heirs to release Dan Arnold, hereinafter referred to as the "study coordinator", from any and all liability, claims, demands or any causes of action, and not to sue or otherwise make any claim against the study coordinator whatsoever which may arise as a result of my participation in the Arnold DNA Study.
I assume full responsibility for any risk resulting from my participation. I understand that the study coordinator will make reasonable efforts to protect my identity in accordance with the information release signed separately by me.
I give the study coordinator the right to view my DNA test results.
I agree to indemnify and hold harmless the study coordinator from all claims, judgments, expenses and costs, including, but not limited to, attorney's fees, incurred in connection with any claims brought as a result of my participation in the Arnold DNA Study and which are released by the terms of this agreement.
This release and waiver is given in the interests of permitting the Arnold DNA Study to go forward with my testing. Further, this release and waiver is given to enable the study coordinator to freely donate services and time in organizing this project without fear of liability.
This release and waiver has no expiration date, and shall apply equally to all future study coordinators.
| _______________________________________________________ | _______________________________ |
| Participant's name, including middle name | FTDNA kit number |
| _______________________________________________________ | _______________________________ |
| Participant's signature | Date |
| Mail this signed form to: Dan Arnold, 1608 Mona Ave., Ocoee FL 34761, USA |
Rev. 02/07