Approved For Release 2001/03/07: CIA-RDP96-00789ROO2100150045-4
I i I,/ -CE ";Y! 7- "11 ON
SG1J J
WARNING NOTICE: INTELLIGENCE SOURCES AN@ METBODS INVOLVED
SGFOIA3
born on
do v n duties as a BhAUM kU) 101 11-C)JUL-L OUIN
training aTid operational @hjssions. I understand that as a BEACON, I will serve as
the focus for Remote Viewers. In consenting to this statement I acknowledge that
this authorization:
a. Will only pertain to training and actual SUN STREAK (U) missions and only
with my prior consent and knowledge.
b. Can be entirely or selectively withdrawn without question or penalty. To
do so, I need only to orally inform my immediate supervisor, the unit operations
officer or the project manager that I wish to withdraw my consent without further
explanation.
c. Will suppose the possibi.li.ty of inadvertent surveillance of my most intiniate
and personal thoughts and that such inadvertent surveillance will not be reported
nor become a matter of any official records and that the nature of this inadvertently
collected information will be held in strictest confidence.
d. Will at no time be construed as authori.zation, implied or stated, to conduct
any type of physical, technical or yet to be defined form of surveillance without my
prior knowledge and consent.
                                            This statement of authorization is executed in the yr ce of e witness whose
TL@,@n 9
signature appears on this d ay of 19 i:e,6 without
reser-vation, amendment or restriction and witbout-coercion or implied and/or stated
inducements.//END//
SG1J
                                          Approved For Release 2001/03/07 V7 94"'
49R00210015004,
3E M-
MrIHO(fi- IN