Parental Consent Form for Minor Subjects
Minor Subject Information
Full Name of Minor
Date of Birth
Age
Parent/Legal Guardian Information
Full Name of Parent/Guardian
Relationship to Minor
Contact Number
Email Address
Study Information
Title of Study
Purpose of Study
Procedures Involved
Potential Risks/Discomforts
Potential Benefits
Confidentiality
Consent
Consent Statement
Parent/Guardian Signature
Date
Researcher/Investigator Signature
Date
You may withdraw your child from participation at any time without penalty. For questions, contact the research team at the details provided above.