Contacts and Questions: 
The researcher conducting this study is Dr. Chester B. Whitley. 
You may ask any questions you have now. If you have questions 
later, you may contact him at (612) 625-7422. 
You will be given a copy of this form to keep for your records. 
Statement of Consent : 
I have read the above information. I have asked questions and 
have received answers. I consent to participation of 
name of participant 
in this study. 
Signature 
Date 
Signature of Witness 
Signature of Investigator 
Signature of Parent /Guardian 
Recombinant DNA Research, Volume 20 
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