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?*

Yes, I do agree to allow my child to participate in this research study.No, I do not agree to allow my 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.