ARCHER Study: Expression of Interest

* required fields

I wish to advise that my child would be interested in participating in the ARCHER study described in the Participant Information Statement on this website.

I agree to being contacted by the School of Rural Health, University of Sydney regarding my child's participation and understand that any details will be kept strictly confidential.

I also understand that I can withdraw my interest and participation at any time without affecting my or my child's relationship with the School of Rural Health, University of Sydney.

Your Details

First Name: *

Surname: *

Your relationship to the child *

Daytime Phone Number: *

Mobile Number:

Email Address:

Postal Address: *

Town: *

Postcode: *

Child's Details

Child's First Name: *

Child's Surname: *

Currently in: *

The University of Sydney - School of Rural Health

ARCHER Study: Expression of Interest

Your Details

Child's Details