Significant New Findings: Any significant new findings resulting from this study will be 
made known to you, your child, and your family. 
Voluntary Consent: I have read this consent form, or it has been read to me. Any questions I 
have concerning this study and my child's participation have been answered, and I have been 
given the names and phone numbers of the administrators at the University of Michigan Medical 
Center who I can call concerning my child's rights as a research participant. My signature 
below means that I am freely giving permission for my child to participate in this study. 
Parent/Guardian's Signature 
Date 
I have explained this consent form and the nature of this study to the parent/guardian. I have 
explained all possible risks and potential benefits, and answered any questions asked by the 
parent/guardian. I have also witnessed the above signature. 
Investigator's Signature 
Date 
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