Consent Form - PR 1
Consent Form - PR 1
Consent Form - PR 1
We, the students from Group 5 HUMSS & GAS of 11 – Mercy, are conducting a research
study on the life of male teenagers playing desktop online games. We would like to inform you
that your child was chosen and would be questioned for research purposes. We guarantee you the
security and confidentiality of all the information. Also, we assure you that the questions to be
asked are not offensive to your child.
Thank you and God bless! We are looking forward to your support and consideration.
Sincerely yours,
The Researchers:
_________________________ _________________________
Jonah Mateo Reiden Vincent Antonio
Approved by:
_________________________ _________________________
Ms. Ivie Marie Abesamis-Penullar, MaED-GC Ms. Mildred Lazo
Research Teacher Senior High School Coordinator
I have read the information provided. I agree for my child/ward to participate in this research
study, realizing that I may withdraw my consent at any time without reason and without
prejudice. I understand that my child/ward’s participation is voluntary.
I understand that the information collected from my child/ward will be kept confidential
and will only be used for the purposes of this study. He will not be identified in any written
assignment or presentation of the results of this project.
_________________________________
Name of child/ward
_________________________________ _________________________________
Parent’s signature over printed name Date