Oral History Consent Form

I hereby consent to my oral history being recorded and authorise the recording to be made available publicly via the Araluen Valley History website (www.araluenvalley-history.com).

Name of individual being interviewed: 
Signature: 
Date: 
Name of interviewer: 
Signature: 
Date: 

Note:  In situations where more than one person is participating in the interview, please ensure a separate consent form is completed for each individual involved. 

Completed forms should be handed to a member of the Araluen History Group or forwarded to araluenvalleyhistory@gmail.com.