I, __________________________ , have the authority to allow access to S.J.G.R. members and affiliated persons to __________________________ located in ________________ for the purpose of conducting an investigation into possible paranormal occurrences or conducting field research at this location. The investigation process has been explained to me and I give S.J.G.R. permission to conduct one at this location. SJGR releases the owner of the location from any liability for injuries and/or damages incurred during the investigation. SJGR assumes responsibility for any damages to the property during the investigation.

Signed___________________________ Date___________
Witness__________________________ Date___________