Environmental Fieldwork Documentation Release Form
Document your fieldwork activities and provide consent for the use of your documentation materials.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Organization or Affiliation (if any)
Fieldwork Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Fieldwork Location (Site Name and Address)
*
Project Title or Purpose of Fieldwork
*
Types of Documentation Provided
*
Photographs
Audio Recordings
Video Recordings
Field Notes
Other
Upload Documentation Files (photos, audio, video, notes, etc.)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Intended Use of Documentation
*
Research Publication
Educational Materials
Reports
Media/Outreach
Other
Supervisor or Project Leader Name (if applicable)
Additional Comments or Notes
Signature
*
Submit Release
Submit Release
Should be Empty: