Informed Consent Form For Parents/guardians Of Project Participants Page 2

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I understand that I will be given a transcript of data concerning
…………………………..…………… (full name of child/person) for my approval before it is
included in the write up of the research.
I also understand that ………………………’s (full name of child/person) participation is voluntary,
that s/he can choose not to participate in part or all of the project, and that s/he or I can withdraw
at any stage of the project without being penalised or disadvantaged in any way.
OR
I understand that confidentiality cannot be guaranteed for information which might be disclosed in
the focus group(s)/group interviews(s).
Signature ……………………………………………….. ..............
Date……………………………
In some fields of research, it could be desirable to re-use the data for further analysis. If it is likely
that your data is of this kind and you want to have the option to use the data for other purposes,
or for it to be available to other researchers, you must obtain explicit permission and describe
what you want the participants to agree to in the Explanatory Statement. A statement should be
included for participants to agree that the information provided can be used in further research
projects which have ethics approval as long as their name and contact information is removed
before it is given to them. State exactly what permission is being sought.
Participant’s Name: ....................................................................... (please print)
Participant’s Age:.......................
Parent’s/Guardian’s Name ..............................................................
Your relationship to participant: .........................................................................................
If appropriate, reason(s) why s/he cannot give written consent............................................
.....................................................................................................................................
Signature of Parent/Guardian: ......................................................Date:................................

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