Submit an Account about Witnessing: Permission Form
Please print this form and FAX it to The Witnessing
Project at
617-332-2522 (United States)
I, _________________________________, give (Name________________________)
permission to write an account of my experience as a witness
to violence and violation. I understand that the account will
appear on the World
Wide Web and may be used for other educational purposes,
for instance in writings or teaching. I also understand that
Kaethe Weingarten
of the Witnessing Project will hold the copyright of this
account.
I do want my name to be attached to this account Yes_____ No
____
Name __________________________________
Date ___________________________________
Address_________________________________
_______________________________________
_______________________________________
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