Parental Consent Form for Child Research Participation

Research Study Information

Title of Research Study: Principal Investigator: Contact Information:

Child's Full Name: Date of Birth:

Parent/Guardian Name: Relationship to Child: Phone Number: Email Address:

I have read and understood the information provided about the above research study, and have had the opportunity to ask questions.

I voluntarily consent to my child’s participation in this research study.

I understand that I may withdraw my consent at any time.

Parent/Guardian Signature:

Date: