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Video Tape Consent

Videotapes will be collected of my and my child's participation. This data will be used for experimental purposes only, and after the data collection is over, they will be permanently stored in a private archive. In the future, they will only be viewed or used for experimental purposes. At any time during or after the experiment you may request that the tapes of you and your child be destroyed. This consent is entirely separate from your consent to participate in the experiment and may be withdrawn at any time in the future. Please sign on the lines below to give special permission for the videotaping of my and my child's participation.

To give your permission to have an excerpt from the videotape shown for research and teaching purpose, please sign below. Please note that if you do not wish to give your permission for this, we would still like your participation in the study for analysis purposes only. I have read and understood the above and agree to have an excerpt from my videotaped interaction shown for educational purposes.

Dana L Kirsch
Tue May 25 08:59:22 EDT 1999