Laboratory Volunteer Consent Form

This form is designed to inform you about the laboratory activity and to obtain your consent to participate as a volunteer. Please read the information carefully and fill in the required details.

1. Volunteer Information

Full Name Date of Birth Contact Information

2. Study Information

Title of Study:

Principal Investigator:

3. Purpose of the Study

4. Procedures

5. Risks and Discomforts

6. Benefits

7. Confidentiality

8. Voluntary Participation and Withdrawal

9. Contact for Questions

10. Consent Statement

I have read and understood the information provided above. I have had the opportunity to ask questions and agree to participate voluntarily in this laboratory activity.

Volunteer Signature Date