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Do you give permission for selfies to be shared on The Ohio State University social media pages? *

Yes

Child assent

Thank you for considering to participate in The Ohio State University Animal Influenza Ecology & Epidemiology Research Program's research study. The purpose of the study is to better understand what healthy habit behaviors have been adopted. Please consider the below when deciding whether or not to agree to take part in the study:

Participating in the study requires no additional time or effort on your part.
By agreeing to participate you are giving the Ohio State study team permission to review your submitted selfies and gather data related to activities you are doing in the photo along with your demographic information. We will be collecting data for the duration of the 2017 swine jackpot show season to observe changes that may occur as you participate in the educational program.
Your participation is voluntary. You may refuse to participate or stop participating at any time in this study without penalty or loss of benefits to which you are otherwise entitled.
There is no direct benefit to you for participating in this research study. There is a minimal risk of a breach of confidentiality. Efforts will be made to keep the study information confidential. There may be circumstances where this information must be released. For example, personal information regarding your participation in this study may be disclosed if required by state law. Also, your research records may be reviewed by groups at Ohio State responsible for overseeing research studies (e.g., Ohio State University Institutional Review Board and Office of Responsible Research Practices).
For questions about the research, or if you feel you have been harmed by participating in the study, you may contact Dr. Andrew Bowman (bowman.214@osu.edu; phone: 1-614-292-6923).
For questions about your rights as a participant in this study or to discuss other study-related concerns or complaints with someone who is not part of the research team, you may contact Ms. Sandra Meadows in the Office of Responsible Research Practices at 1-800-678-6251.

Child assent *

I agree to participate in the study.

I want submit selfies without participating in the research study.

Parental permission

Thank you for considering your child's participation in The Ohio State University Animal Influenza Ecology & Epidemiology Research Program's research study. The purpose of the study is to better understand what healthy habit behaviors have been adopted. Please consider the below when deciding whether or not to agree to your child taking part in the study:

Participating in the study requires no additional time or effort on your child's part.
By agreeing to let your child participate you are giving the Ohio State study team permission to review your child's submitted selfies and gather data related to activities you are doing in the photo along with your child's demographic information. We will be collecting data for the duration of the 2017 swine jackpot show season to observe changes that may occur as your child participates in the educational program.
Your child's participation is voluntary. You and your child may refuse to participate or stop participating at any time in this study without penalty or loss of benefits to which you and your child are otherwise entitled.
There is no direct benefit to your child for participating in this research study. There is a minimal risk of a breach of confidentiality. Efforts will be made to keep the study information confidential. There may be circumstances where this information must be released. For example, personal information regarding your child's participation in this study may be disclosed if required by state law. Also, your child's research records may be reviewed by groups at Ohio State responsible for overseeing research studies (e.g., Ohio State University Institutional Review Board and Office of Responsible Research Practices).
For questions about the research, or if you feel your child has been harmed by participating in the study, you may contact Dr. Andrew Bowman (bowman.214@osu.edu; phone: 1-614-292-6923).
For questions about your child's rights as a participant in this study or to discuss other study-related concerns or complaints with someone who is not part of the research team, you may contact Ms. Sandra Meadows in the Office of Responsible Research Practices at 1-800-678-6251.

Parental permission *

I give permission for my child to participate in the study.

I do not give permission to my child to participate in the study.

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