Last Revised 26 July 2002

This is a more general release/waiver form that is much better suited for using in genetic genealogy y-DNA surname projects. Based on feedback from the genetic genealogy community and my own realization that the prior form posted here was not the best form to use, I have updated this page. This is a general release/waiver form that is much better than the prior form. You could also throw in a sentence that by signing this form, you consent to the project coordinator publishing the y-DNA results (and insert any other results, such as pedigree/ancestor information) on the internet (or use the term that we use in the publishing world: "or in any media").

Your use of the form acknowledges that you have read the Legal Notice at the bottom of this page. The legal notice is not a part of the form.

_____ [insert the project surname] SURNAME DNA PROJECT


FOR GOOD CONSIDERATION, the undersigned jointly and severally forever release and discharge _____ [insert surname project coordinator's name] from any and all claims, liabilities, judgments, and proceedings, both at law and in equity, arising from my participation in the _____ [insert the project surname] SURNAME DNA PROJECT

This release shall be binding upon and inure to the benefit of the parties, their successors, assigns and personal representatives.

Signed this day of __________________, 20___.

In the presence of:




Kevin Duerinck does not assume any legal liability or responsibility for the accuracy, completeness, or usefulness of any information on this page, nor does Kevin Duerinck represent that its use would not infringe on privately owned rights. Further, Kevin Duerinck disclaims any and all warranties, express or implied, relating to this website and any information contained therein, including warranties as to the accuracy or completeness of the information. Kevin Duerinck shall not be liable for any damages of any kind, under any theory of liability, resulting from user's access to the website or use of any information contained therein. Nothing on this website shall be used to construe an attorney client relationship. You are strongly advised to seek the services of a licensed attorney.

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