Non Disclosure Agreement

* You will be receiving $150 in the form of a mailed check after completion of the study.*

Please choose the one that applies to you

I am the parent or guardian of a child under 18 that is participating in this studyI am 18 years or older participating in this study

Date (MM/DD/YYYY)

Full Legal Name (of the person participating in the study if you are 18 years or older)

Full Legal Name (of the person participating in the study)

Full Legal Name (of the parent or legal guardian of the child participating in the study)