Educational Game Beta Trial Consent Form
Please review the information and provide your consent to participate in the beta trial of our educational game.
Participant Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number (for trial updates)
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth (Participants must be 18 or older)
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Have you participated in any beta trials or educational games before?
*
Yes
No
Informed Consent: By checking this box, you confirm that you have read and understood the information about the beta trial, agree to participate voluntarily, and understand that you may withdraw at any time without penalty.
*
I agree to participate in the beta trial and provide my consent.
Signature (Please sign to confirm your consent)
*
Submit Consent
Submit Consent
Should be Empty: