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Thank you for participating in our usability research.
We will be recording your session to allow {ORGANIZATION NAME} staff members who are unable to be here today to observe your session and benefit from your comments.
Please read the statement below and sign where indicated.
I understand that my usability test session will be recorded.
I grant {ORGANIZATION NAME} permission to use this recording for internal use only, for the purpose of improving the designs being tested.
Signature: _______________________________
Print your name: __________________________
Date: __________________