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 __________________________________



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This page was last updated on 25-Nov-2002