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O Leave a 1-inch margin around the entire document. After you have finished, if you change your mind or need to tell us about changes to your child's medical history, do not complete another consent form.No Payment: You will not be paid for taking part in this study. Statement of Consent: I understand that personal information is held about me. If you have not completed a consent form, we will not be able to vaccinate your child. Use this template to create a consent form. Consent do not apply to a child who is not a school-aged or young child. Please complete the consent form and refuse consent. COVID-19 Vaccine Consent Form.