Consent Form

Study title: Reconceptualising word learning difficulties in children with autism using novel empirical and computational methods.

Investigators: INVESTIGATOR 1 & INVESTIGATOR 2

As the parent/guardian

1.	I have agreed that my child can be involved in the present study.
2.	I have been given the opportunity to ask any questions I wish, and they have been answered to my satisfaction. 
3.	I am aware that I have the right to withdraw my child’s data up to 2 weeks after they have participated, without giving reason and with no adverse consequences. After this period, my child’s data will remain in the study.
4.	I have been provided with full information about the present study. 
5.	I have been given contact information for the researchers involved in the study.
6.	I have been assured that all information regarding participants will be confidential.
7.	I have agreed that my child can be video recorded while playing the word learning games and during the ADOS assessment and that the data can be used for scientific purposes only.*

* The video data will enable the research team to code your child’s behaviour retrospectively. This will reduce the likelihood of us missing important information or making errors. Video data also allows us to spot important patterns of behaviour and capture responses that are surprising or difficult to interpret “in the moment”.

For the duration of the study, video data will be stored on the researchers’ encrypted and password-protected computers. After the study has been completed, the data will be transferred to an external hard-drive and stored in a secure location for a period of 10 years before being deleted. Due to the vulnerable nature of the participants, video data will not be shared within the academic community under any circumstances. In line with the funder’s requirements, anonymised numerical data sets will be made available to the academic community via a data repository, subject to registration.
 
I have read and understood the declarations above, and agree to my child’s participation in the present study:

Child’s name: __________________________________          Child’s date of birth:__________

Parent/Guardian’s Signature:__________________________________        Date:__________

If you would like to ask any questions regarding this study, please feel free to contact:

NAME (Research Associate): 
EMAIL, TELEPHONE

NAME (Project Lead):
EMAIL, TELEPHONE

NAME (Head of Department):
EMAIL, TELEPHONE