The Australian Bird Feeding & Watering Study
 
PLAIN LANGUAGE STATEMENT AND CONSENT FORM

Consent Form

TO: registered participant

Full Project Title: Watering and feeding birds in back gardens
Reference Number: STEC-62-2015-CLEARY-MOD 03
Download the plain language statement and consent form
  • I have read and I understand the attached Plain Language Statement.
  • I freely agree to participate in this project according to the conditions in the Plain Language Statement.
  • I have been given a copy of the Plain Language Statement and Consent Form to keep.
If you do wish to send Dr Grainne Cleary stories and photos for potential publication in her book please indicate this by ticking the consent boxes below.
Email Address  
I hereby give my consent to Dr Grainne Cleary to use the stories I will email to her or have emailed to her in the past for publication in her book
I hereby give my consent to Dr Grainne Cleary to use the photos I will send her/ or have already sent for publication in her book
I hereby give consent for my first and last name and state to be used
I only wish my first name and state to be used
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