Journalism Reading Room Patron Confidentiality Waiver I understand that according to 43.30(1) of the Wisconsin Statutes, records indicating the identity of individuals who borrow library materials may not be disclosed to anyone outside the library administration, except by court order. I further understand that by signing this waiver I am giving up any expectation that my records relating to any audio or video equipment borrowed from the Journalism Reading Room will be kept confidential. Therefore, I give permission for employees of the Journalism Reading Room to release any records relating to audio or video equipment, to any employee of the UW Journalism Department or their agents. I further understand that my statutory right to privacy will not resume until all audio and video equipment I borrow during this semester is returned. __________________________________________________ Signed __________________________________________________ Student name (please print) 07/2010 __________________ Date