Participant Release Form

On the following page, please enter your name and email; or if you are the participant's parent/guardian, please enter the participant's name and email.

Please Sign Our Release Form

Institute for Community Inclusion/UCEDD
UMass Boston
100 Morrissey Blvd.
Boston, Massachusetts 02125
Voice: 617.287.4300
Fax: 617.287.4352
TTY: 617.287.4350
Email: ici@umb.edu