Parental Permission Form

Required when a child under 18 participates. Per 45 CFR 46.408, some studies require permission from BOTH parents.

Study Title

[FILL IN]

Introduction

You are being asked to give permission for your child to take part in a research study conducted by [FILL IN: PI] at [FILL IN: institution].

Purpose

[FILL IN: plain-language purpose.]

What Your Child Will Do

[FILL IN: procedures, duration, frequency, location.]

Risks

[FILL IN]

Benefits

[FILL IN]

Confidentiality

Your child's responses will be kept confidential. [FILL IN] Mandated reporting applies — if we learn of suspected abuse or imminent harm, we are required by law to report it.

Voluntary Participation

Your child's participation is voluntary. You or your child may withdraw at any time with no penalty.

Compensation

[FILL IN]

Contact

Permission Required

One-parent permission is sufficient (45 CFR 46.404 or 46.405 — minimal risk or direct benefit).

Permission from both parents is required (45 CFR 46.406 or 46.407) unless one parent is deceased, unknown, incompetent, not reasonably available, or does not have legal custody.

Parent/Guardian 1

Name (printed):

Signature / Date:

Relationship to child:

Parent/Guardian 2 (if required)

Name (printed):

Signature / Date:

Relationship to child:

If only one signature obtained, reason: deceased unknown incompetent not reasonably available no legal custody