Release Form

 

Date:

 

Interviewer:

 

Interviewee:

 

Address:

 

Number:

 

 

I authorize _______________________________________________ ,

 

employee of the Bonne Bay Cottage Hospital Corporation, the right to record this interview for the BBCHC oral history project.

 

 

I realize that this interview may be edited and used to present local history in the museum or on a museum website.

 

Agreed and accepted by:

 

 

 

 

 _______________________________________

 

Signature of interviewee.

 

(If you have any questions, contact ?