Parental Consent for Minor’s DNA Sample Release

Minor’s Information

Full Name of Minor Date of Birth Address

Parent/Guardian Information

Full Name of Parent/Guardian Relationship to Minor Contact Number Email Address

Consent Statement

I, the undersigned, hereby authorize and consent to the collection and release of a DNA sample from the above-named minor for the purposes of . I confirm that I am the lawful parent or legal guardian of the minor and have the authority to grant this consent.

Additional Comments