The Stonehewer to Stanier DNA Project

Application Form

DNA Project Application Form

(For all male Staniers and variant spellings)

I have read about the Stonehewer to Stanier DNA Project which is described on the website located at freepages.genealogy.rootsweb.com/~stanier/DNA_Project/ and I would like to participate. I understand that the results of this test will help determine whether or not the project participants are descended from a common ancestor, and I understand that a specific ancestor will not be targeted.

Please fill in all fields, and the Submit button.
Please enter the personal information below EXACTLY the way the shipping label and certificate should be printed.
First Name
Middle Name
Last Name
Address1
Address2
City
County or State
Postal Code
Country
Phone
Fax
Email

Please read the Participation Agreement below and check each block. Orders will NOT be placed unless ALL boxes are checked.

Participation Agreement

Yes, I want to sign up and I am willing to pay DNA Heritage for the analysis of my DNA sample.
I am submitted online my completed Pedigree Chart, which contains my male Stanier line back to my earliest known Stanier ancestor. (If you can trace your ancestor back farther than the form has room for, please use two sheets). I have included dates and places of birth when known, where they resided and the name of spouse, to enable you to match potential family lines.
I agree to release my project code number, ancestor's name, ancestor's chronology, ancestor's location, and DNA markers for publication on the Stonehewer to Stanier DNA Project web pages. No information concerning my identity may be published or released without my written permission.
I have read the Release of Liability/Liability Waiver and agree that by participating in this project I am releasing both the Stonehewer to Stanier Society and the Stonehewer to Stanier DNA Project Administrator (Alan Michael Stanier) of any legal issue which may arise out of my participation. This includes but is not limited to emotional impacts from an unanticipated DNA sequence result, samples being lost in transit, and poor samples being provided.