I, ____________________________________________ being the legal parent/guardian
of ____________________________________________ (Child's name) give my consent to their participation in the Nitbusters School Head Lice Project.

  • I acknowledge that I have received and read the Parent Information Sheet, which explains the aims and procedures involved in this project. 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: ____________________________________________ in class ________________ participating in the project.

Signature: ____________________________________________ Date: ______________________

Current as at: Tuesday 5 February 2013
Contact page owner: Environmental Health