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how do adolescents define depression? - cIRcle - University of ...

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THIS PORTION IS TO BE RETURNED TO SCHOOL<br />

FOR YOUR CHILD'S NEXT CLASS.<br />

Appendices<br />

PARENT/GUARDIAN CONSENT FORM: A<strong>do</strong>lescents' Understanding <strong>of</strong> Depression and<br />

Help-Seeking Behaviors<br />

I have read and understood the details outlined in this letter regarding the study entitled,<br />

A<strong>do</strong>lescents' Understanding <strong>of</strong> Depression and Help-Seeking Behaviors.<br />

I understand that my child's participation in this study is entirely voluntary and that I as well as<br />

my child may refuse to participate or withdraw from the study at any time without any<br />

consequence.<br />

I have received a copy <strong>of</strong> this consent form for my own records.<br />

^ YES, my son/daughter has my permission to participate.<br />

^ NO, my son/daughter <strong>do</strong>es NOT have my permission to participate.<br />

Parent or Guardian's Name: ^ (please<br />

print)<br />

Parent or Guardian's Signature: ^<br />

Son's or Daughter's Name: ^ (please<br />

print)<br />

Date:^<br />

Telephone Number:^<br />

(best number[s] to contact during the day and evening and the best times to contact)<br />

Mailing Address:^<br />

(please print, number, apartment, street name)<br />

(city, province)<br />

(Postal Code)<br />

Please send this form back to school with your son or daughter for the next class.<br />

Thank you!<br />

220

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