The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

9Z6CbWXuzFiMw5Z7k8QMt2KLNTtgNEG3z83Bo

F-words Knowledge Translation and Research Program Photo Release Form

I hereby give the CanChild F-words Knowledge Translation and Research Program and its representatives permission to use photo(s) of myself, child/children, and/or family for the purpose of inclusion in F-words related workshops, presentations, and/or study recruitment/dissemination materials.

I understand that my photo(s) may be used in the following formats:

Educational materials (e.g., F-words websites, brochures, and marketing materials, etc.)

Audiovisual materials (e.g., F-words related videos)

Recorded presentations (e.g., F-words webinars)

I hereby waive any rights to approve the finished products. I understand that I can revoke my consent any time by contacting the researchers (fwords@mcmaster.ca).

By signing this form I am confirming:

I am 18 years of age or older

I understand my personal information will be kept secure and confidential

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