Child Participation in Research Consent Form
Study Information
Title of the Research Study
Principal Investigator
Contact Information
Participant Information
Child's Name
Child's Date of Birth
Parent/Guardian Name
Relationship to Child
Purpose of the Study
Procedures
Risks and Benefits
Confidentiality
Voluntary Participation
Contact for Questions
I have read and understood the information above, and I give permission for my child to participate in this research study.
My child agrees to participate in this research study.
Parent/Guardian Signature
Date
Child's Signature (if appropriate)
Date
Researcher Signature
Date