# Assent Form (Minor Participants)

> Two variants are provided. Use the one that matches your participants' age and reading level. Parental permission is also required.

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## Variant A: Ages 7–12 (simple language)

### What is this?
We want to learn about [FILL IN: study topic in very simple words]. We are asking if you want to help us.

### What will happen?
If you say yes, you will [FILL IN: describe activities in short sentences]. This will take about [FILL IN: time].

### Will it hurt?
[FILL IN: "No, it will not hurt" OR explain honestly in simple words.]

### Do I have to?
No. You do not have to do this. If you say no, nobody will be upset. If you say yes and then change your mind, you can stop any time.

### Any questions?
You can ask [FILL IN: researcher first name] anything. Your parent can also ask questions.

I want to help with this study.

Child's Name: _____________________________

Child's Signature or Mark: _____________________ Date: __________

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## Variant B: Ages 13–17 (adolescent language)

### Purpose
You are being invited to take part in a research study about [FILL IN]. The goal is to [FILL IN].

### What You Will Do
If you agree, you will [FILL IN: describe procedures, duration, location].

### Risks
[FILL IN: honest plain-language description of any risks or discomforts.]

### Benefits
You may not benefit directly, but this study may help [FILL IN].

### Privacy
Your answers will be kept private. We will not tell your parents or teachers what you said specifically. The only exception is if you tell us something that makes us worried about your safety.

### Your Choice
Taking part is your choice. Your parent has said it is okay, but you still get to decide. You can stop at any time.

### Questions
Contact [FILL IN: researcher name, email].

I have read this form and agree to take part.

Participant Name (printed): __________________________

Participant Signature: ____________________________ Date: __________

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