Assent Form for Children (Comparison Families)

  If you agree to take part in this research study, please read, tick and sign below.  

 

Child’s Name (Printed):……………………………………….…………………………
Child’s Signature:…………………………………………………………………………………

If your child cannot sign their name for any reason, they can tick/mark the following box to indicate they assent to taking part in this study:

Parent’s Name (Printed):……………………………………….…………………………
Parent’s Signature:…………………………………………………………………………………
Date:……………….…………………………………………………………………………………………………………………