Science Fair Project Informed Consent Form printable pdf download

Informed Consent Form

This form must be signed by a parent (or guardian) of all subjects under 18 years of age that are used in a

science fair project.

Student Researcher’s Name__________________________________________________________

Title of Project ____________________________________________________________________

Adult Sponsor/Parent _______________________________________ Phone:_________________

Your child has been asked to participate as a subject in a science fair project. The purpose of this form is to notify you of any

possible risks and obtain your permission for him/her to participate. The student researcher will be supervised and any

surveys or questionnaires should be attached to this page. (This project has been reviewed and approved by an Institutional

Review Board. If you have any questions, please contact the Adult Sponsor listed above.)

To be completed by the student researcher:

1. What will you ask the subjects to do?

2. Will your subjects be eating or drinking anything?

No _____ Yes _____

If yes, what will they eat or drink? _____________________________________________________

3. Will your subjects be doing any kind of exercise?

No _____ Yes _____

If yes, what will they do? ____________________________________________________________

4. Will your subjects be answering questions or completing a survey? No _____ Yes _____

If yes, please attach a copy of the questions to this page.

To be completed by the subject prior to the experiment:

 I understand what I will be doing and agree to participate. I also understand that I can stop

participating at any time.

__________________________

______________________________

_______________

Subject’s Name

Subject’s Signature

Date

For subjects under 18 years old, a parent/guardian must give permission for participation:

 I understand what my child will be doing and am aware of any possible risks.

____________________

______________________

___________________

___________

Subject’s Name

Parent’s Name

Parent’s Signature

Date

Science Fair Project Informed Consent Form