Consent form

I agree to participate in the ‘Scaffolding Intergenerational Interactions Within Dementia’ project, being carried out by Open Lab, Newcastle University.
•	I have read and understood the information sheet. 				  
•	All questions that I had have been answered and I have no more questions. 	  
•	I understand that I will be audio and video recorded during interviews. 	  	  
•	I understand that the data collected for this project will be stored in the Computing Sciences department at Newcastle University. 												  		  
•	I understand that the information collected for this project will be used only for research purposes.	 							  
•	I understand that my name will not be used on any documents or in any presentations about the project. 						  
•	I understand that I can leave the project at any time without needing to say why. 
•	I understand that anonymized quotes of what I say may be used in the project report. 										  
Your signature: .................................................................................................. 
Your Name (in capitals): ..........................................   Date: .............................
Contact telephone number / email address (so I can get in touch with you again about further workshops): 
…………………………………….…………………………………………………….
Please feel free to contact me with any questions: 

Daniel Welsh,

Email: d.welsh@ncl.ac.uk
Mobile: 07479 615 272