Westat research consent form

Select your student's school

Enter the name of the legal guardian or parent

First NameLast Name

Legal guardian or parent Email

example@example.com

Enter your student's name

First NameLast Name

Enter your student's school ID number

Do you agree to allow your child to participate in this research study?

Parent or legal guardian's signature

I understand that by submitting this form that I, {ParentName} as the parent or legal guardian of {StudentName} with student ID number {StudentID} agree to the terms and conditions presented in this form.