Audio-Video Analysis Consent Form
Please review and complete this form to provide your consent for the analysis of your audio and/or video recordings.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Affiliation or Organization (if applicable)
Project or Study Title
*
Purpose of Audio/Video Analysis (briefly describe)
*
Type of Material Provided
*
Audio recording
Video recording
Both audio and video
Date of Recording (if known)
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please describe the content or context of the recording(s)
Duration of Consent (how long may your material be used for analysis?)
*
Please Select
This project only
Up to 1 year
Up to 5 years
Indefinitely
Other (please specify)
By signing below, I confirm that I have read and understood the information above, and I consent to the analysis and use of my audio/video recordings as described.
*
Submit Consent
Submit Consent
Should be Empty: