I,___________________________________________, am associated with the Strong Foundations Focus Group Project and promise to keep the names and any identifying information about the participants in this discussion completely confidential. All papers containing names or other identifying information will be kept under lock and key and will not be shared with any persons, agencies or organizations not associated with this project. Any reporting of the findings of this discussion will be done without names, and no information will be included which would reveal the identity of the participants without the written permission of the participant.

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Print Name >>>>>>> Signature>>>>>>> Date

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