Terms, Conditions, and Disclosures
By filling out this questionnaire, you, the Questionnaire Participant, are agreeing to allow Kristen Renee Foundation (KRF) to share your information with partner organizations and government officials. One of our team members, or representatives, may contact you in order to gather more information or to get clarification. KRF will not sell your data or information. This data will be used for the purposes of research and statistical analysis to help the community of Frederick, Maryland. This survey is available to residents of Frederick, Maryland and former residents of Frederick, Maryland and/or those who worked in Frederick or may have spent considerable time there.


This Questionnaire is provided with no guarantees, warranties or conditions. The Questionnaire is not an obligation, explicit or implied, for good, services, monetary compensation, or payment. This Questionnaire is made available exclusively for the distribution of the Kristen Renee Foundation (KRF). If you are not acting on behalf of KRF, you may not share or distribute this Questionnaire. Kristen Renee Foundation will not be liable for any damages including, without limitation, any direct, indirect or consequential damages, any damages whatsoever arising from use of inability to use the Questionnaire, any loss of data, or any loss of profits, whether in action of contract, negligence or other tortious action, arising out of or in connection with the use of this Questionnaire.

By submission of this Questionnaire, I confirm that the information I provided is accurate and truthful to the best of my knowledge. I agree to the terms and conditions of this Questionnaire.

Instructions for filling out the Kristen Renee Foundation’s “Fighting For Frederick” Questionnaire –

You can simply complete the Questionnaire online and submit it electronically. You will be notified by email when your Questionnaire is received and reviewed by a staff volunteer.


For any questions about the completing the Questionnaire, leave a message at 301-433-4561 and a volunteer will call you.
 

WHY ANSWER THIS QUESTIONNAIRE?

The Kristen Renee Foundation discovered that Fort Detrick sprayed Agent Orange decades ago over Area B that was surrounded by farms and residences and is now an impacted community. The Foundation met with Fort Detrick officials and their attorneys to confirm this, gaining the admission that in fact, this was done by both flyovers and spraying from the back of trucks. The Kristen Renee Foundation has obtained evidence of additional hazardous waste buried not only in Area B, but also on the Main Post Area A, and a malfunctioning treatment system for ultra-hazardous waste.

By providing information through our Questionnaire, you will be helping the Kristen Renee Foundation in the efforts to better understand how the Frederick residents have been possibly affected by the contamination of Agent Orange.

“Fighting for Frederick, Our City, Our Health” as seen in the:
Frederick News Post 
Time Magazine
Washington Post
Baltimore Sun
Denver Post
Associated Press
AOL & many more
And on USA Network’s “ASPIREist” TV series
Fox News
ABC7
Fox5
WUSA9
& many other Television and Radio news agencies

Frederick residents and former residents, friends and family of residents: Your participation is ESSENTIAL.
WE are in pursuit of the truth about FORT DETRICK and how our Community has been affected by the exposure of TCE, PCE,Agent Orange (a polychlorinated dibenzodioxin used in the Vietnam War). So far the Kristen Renee Foundation has identified nearly 2500 families that have been affected with cancers and diseases that are linked to this toxic exposure.

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ADDRESS

P.O. Box 20914

Tampa, Florida

33622

© 2014 Kristen Renee Foundation/ Fighting For Frederick. All Rights Reserved.