Parental Consent Form

Online Focus Groups Involving Minors

Please complete this consent form to allow your child to participate in the online focus group.

Minor's Information

Child's Full Name Child's Age Child's School/Grade

Parent/Guardian Information

Parent/Guardian Name Relationship to Child Contact Email Contact Phone Number

Focus Group Details

Focus Group Name/Topic Date(s) of Participation

Consent Acknowledgment

By signing below, I acknowledge that:

I have read and understood the information provided about the focus group.
I give permission for my child to participate in the online focus group.
I understand my child's participation is voluntary and information will be kept confidential.
I have had the opportunity to ask questions and received satisfactory answers.

I consent to my child's participation. Additional Comments (optional)

Parent/Guardian Signature Date