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in partial fulfil]ment of the - MSpace - University of Manitoba

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143<br />

CONSENT FORM<br />

The dark adaptation test has been expla<strong>in</strong>ed to me. I understand <strong>the</strong><br />

procedure <strong>in</strong>volved and i agree to let my son or daughter participate <strong>in</strong><br />

<strong>the</strong> study.<br />

I understand thab my child's participation is voluntary and can withdraw<br />

from <strong>the</strong> study at any time.<br />

Name <strong>of</strong> Parent:<br />

Signature:<br />

Date:<br />

Telephone:

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