[Language must be simplified as appropriate for the age group of the participants, such as:
I have been told that my parents (mom or dad) have said that it's okay (or, have given permission) for me to participate, if I want to, in a project about __________________________________________________________.
I know that I can stop at any time I want to and it will be okay if I want to stop.
Name: ______________________________________________
Or
I have been informed that my parent(s) have given permission for me to participate, if I want to, in a study concerning ______________________________. My participation in this project is voluntary and I have been told that I may stop my participation in this study at any time. If I choose not to participate, (it will not affect my grade, treatment, care, select whichever applies) in any way.
Name: ______________________________________________
NOTE: For children unable to understand written assent forms, a verbal script for assent should be submitted in lieu of the above.