Personal Genome Project

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Informed Consent for Eligibility Screening

Failure to accurately represent your full name on this informed consent will invalidate your eligibility for enrollment. You may not submit or sign this consent form on behalf of any other person, even if you are the parent, guardian or hold a power of attorney or comparable authority with respect to such person.

Once you submit this consent form, you will not be able to change the name associated with your account. Please enter your name as it appears on government issued identification, such as a valid driver's license.