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Parent Consent Form

Parent Consent FormĀ 

I, ............................................................being the legal parent/guardian of


............................................................... (Child's name) give my consent to their participation in the above project.

  • I acknowledge that I have received and read the Parent Information Sheet, which explains the aims of this project, and the procedures involved in this project, including any inconvenience or possible risks.
  • I understand that my child's participation in this project is entirely voluntary and that they can withdraw at any stage.
  • I also understand that I can withdraw my consent at any time for my child's participation.
  • I also understand that the information relating to my child's participation in the project is strictly confidential. I agree that the results of the project may be published, provided that my child cannot be identified.


I hereby give my consent to my child:

...................................................class......................................... participating in the project


Signature:..................................................................... Date:.........................


Name of witness (print)...........................................................................


Signature of Witness:......................................................... Date:........................

This web page is managed and authorised by Environmental Health of Centre for Health Protection of the NSW Department of Health. Last updated: 31 March, 2009

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