Free parental consent form template 31Free parental consent form template 31
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SAMPLE PARENTAL CONSENT FORM
This document may serve as a guide or a template for your actual Parental Consent or
Informational Letter. All the information in this sample form must be included in the Parental
Consent or Informational Letter submitted to IRB for review. You may choose your own
format if desired. Parental Consent is required for any subjects under 18 years of age, along
with a Child Assent Form.
INFORMATION ABOUT: give title of study
BALDWIN WALLACE UNIVERSITY
BEREA, OHIO 44017
RESPONSIBLE INVESTIGATOR: give name of responsible investigator and co-investigator
DATE OF PREPARATION OR REVISION:
My child has been asked to participate in a research study that investigates describe purpose of
investigation, how it relates to other knowledge on the topic(s) and what use may be made of the results
obtained
In participating in this study I agree to allow my child to describe briefly and in lay terms procedures to
which parent is consenting. Be specific in describing treatments o