Note: Do NOT send this form. You will be sent the form with your kit if you sign up. The form below is FOR INFORMATION ONLY.
RELEASE FORM
PACE SURNAME DNA PROJECT
RELEASE OF LIABILITY/LIABILITY WAIVER FORM
I understand that the PACE Surname DNA Project is a project established
by THE PACE SOCIETY OF AMERICA, INC., to test genetically, by commercial
means, the y-chromosomal DNA of participants and to compare the results with
others of PACE or variant surnames.
I understand that this project is limited to those who are, or believe
themselves to be, Paces of British descent (including all such Paces
worldwide). I understand that
the project will be hosted by Family Tree DNA, Inc. (hereafter designated
as FTDNA) and that the University of Arizona laboratory will perform the
tests. I understand that the
test results will be made known only to myself and the Project Administrator
appointed by the Pace Society
I also understand the possibility exists that a participant's DNA will not match that of others with the same surname due to adoption, false paternity, or other causes in the participant's immediate family or backward in time in the ancestral line.
In consideration of this right to participate in the PACE Surname DNA
Project 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 all of my family and heirs to release THE PACE SOCIETY OF AMERICA, INC.,
the PROJECT ADMINISTRATOR appointed by the PACE SOCIETY OF AMERICA, INC.,
and FTDNA from any and all liability, claims, demands or any causes of action,
and NOT TO SUE OR OTHERWISE MAKE ANY CLAIM whatsoever against THE PACE SOCIETY
OF AMERICA, INC., the PROJECT ADMINISTRATOR,
or FTDNA which may arise as
a result of my participation in the PACE Surname DNA Project.
I assume
full responsibility for any risk occurring from my participation. "I understand
that the PROJECT ADMINISTRATOR
will make reasonable efforts to protect the identity of the participants.
I give the PROJECT ADMINISTRATOR the right to see and copy my results and
understand that the PROJECT ADMINISTRATOR will make sure that I receive a
copy of my test results. Furthermore,
the PROJECT ADMINISTRATOR. may disclose the results of this testing
with specified individuals such as other persons who provided payment for
my testing. I agree that the PROJECT ADMINISTRATOR may post the results of
my test on a web page, using an identifying number known only to myself and
the PROJECT ADMINISTRATOR. I also agree to INDEMNIFY AND HOLD THE PACE SOCIETY
OF AMERICA, INC., the PROJECT ADMINISTRATOR appointed by the PACE SOCIETY
OF AMERICA, INC.. and FTDNA HARMLESS 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 PACE Surname
DNA Project and which are released by the terms of this agreement.
This RELEASE AND WAIVER is given in the interests of permitting the PACE
Surname DNA Project to go forward in the genealogical testing of this participant
and of permitting THE PACE SOCIETY OF AMERICA,
INC, the PROJECT ADMINISTRATOR
appointed by the PACE SOCIETY OF AMERICA, INC., and FTDNA to serve the quest
of the PACE and variant surname families for genealogical relationship data
through genetic testing as outlined above.
This RELEASE AND WAIVER is further given to enable THE PACE SOCIETY
OF AMERICA, INC. and the PROJECT ADMINISTRATOR appointed by the PACE SOCIETY
OF AMERICA, INC. and all the families to determine whether there is a possibility
that the different Pace lines are related and at what point in time that
relationship did or did not occur. Further, this RELEASE AND WAIVER is given
to enable the PROJECT ADMINISTRATOR
to feel free to donate his/her services and time in organizing this
project without fear of liability. My release is given in exchange for being
a participant in this project. This RELEASE AND WAIVER has no expiration
date.
Signature of Participant:
______________________________
Printed Name of Participant: __________________________
Date __________________________________