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Register for our survey and help the change!
Registration and consent form
First Name
Email
Address
Country of origin / heritage?
Last Name
Phone
How would you identify yourself?
Level of English knowledge?
I hereby acknowledge that my photograph and video might be taken and I grant my permission to LIP the rights of my image in video or still or the sound of my voice as recorded on camera or video without payment or any consideration.
I here by acknowledge that my participation is completely voluntary and I can decide to stop participating at any time.
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