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signed_consent.jinja2
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signed_consent.jinja2
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{% extends "sitebase.jinja2" %}
{% set page_title = _("Consent") %}
{% set show_breadcrumbs = False %}
{% set hide_header = True %}
{% set hide_footer = True %}
{% block head %}
{% endblock %}
{% block content%}
<div class="container default-container">
{% if source_age == "0-6" %}
<div id="0-6-div">
<div class='consent-scroll-text'>
{{ consent['consent_content'] }}
</div>
<div class="mt-2 consent-form-text" id="consent">
<a href="{{ _('https://oag.ca.gov/sites/all/files/agweb/pdfs/research/bill_of_rights.pdf') }}" target="_blank">{{ tl['PARTICIPANT_FORM']['BILL_OF_RIGHTS']|e}}</a><br/>
<p>
<input value="Yes" type="checkbox" name="consent_parent" id="consent_parent" required data-rule-required="true" checked disabled> * {{ tl['PARTICIPANT_FORM']['TEXT_I_HAVE_READ_PARENT'] |e}}<br />
</p>
</div>
<div class="row mb-3">
<div class="col-md-6">
<span class="consent-form-label">
{{ tl['PARTICIPANT_FORM']['PARTICIPANT_NAME'] |e}} *
</span>
</div>
<div class="col-md-6">
{{ source_name }}
</div>
</div>
<div class="row mb-3">
<div class="col-md-6">
<label class="consent-form-label" for="parent_1_name">
{{ tl['PARTICIPANT_FORM']['PARTICIPANT_PARENT_1'] |e}} *
</label>
</div>
<div class="col-md-6">
{{ consent['parent_1_name'] }}
</div>
</div>
<div class="row mb-4">
<div class="col-md-6">
<span class="consent-form-label">
{{ _('Date Signed') }}
</span>
</div>
<div class="col-md-6">
{{ consent['date_time'] }}
</div>
</div>
</div>
{% endif %}
<!------------------------------- CONSENT/ASSENT FOR AGE 7-12 STARTS HERE --------------------------------------------->
{% if source_age == "7-12" %}
<div id="7-12-div">
<div class="consent-scroll-text">
{{ consent['assent_content'] }}
</div>
<div class="mt-2 consent-form-text">
<p>
<input value="Yes" type="checkbox" name="consent_child" id="consent_child" required data-rule-required="true" checked disabled> * {{ tl['PARTICIPANT_FORM']['TEXT_I_HAVE_READ_SIMPLIFIED'] |e}}<br />
</p>
</div>
<div class="row mb-2">
<div class="col-md-6">
<span class="consent-form-label">
{{ tl['PARTICIPANT_FORM']['PARTICIPANT_NAME'] |e}} *
</span>
</div>
<div class="col-md-6">
{{ source_name }}
</div>
</div>
<div class="row mb-1">
<div class="col-12">
<strong>{{ tl['PARTICIPANT_FORM']['PERSON_ATTAINING_ASSENT'] |e}}</strong>
</div>
</div>
<div class="mt-2 consent-form-text">
<p>
<input value="Yes" type="checkbox" name="consent_witness" id="consent_witness" required data-rule-required="true" checked disabled> * {{ tl['PARTICIPANT_FORM']['TEXT_ASSENT_WITNESS'] |e}}<br />
</p>
</div>
<div class="row mb-4">
<div class="col-md-6">
<span class="consent-form-label">
{{ tl['PARTICIPANT_FORM']['ASSENT_OBTAINER'] |e}} *
</span>
</div>
<div class="col-md-6">
{{ consent['assent_obtainer'] }}
</div>
</div>
<div class="consent-scroll-text">
{{ consent['consent_content'] }}
</div>
<div class="mt-2 consent-form-text" id="consent">
<a href="{{ _('https://oag.ca.gov/sites/all/files/agweb/pdfs/research/bill_of_rights.pdf') }}" target="_blank">{{ tl['PARTICIPANT_FORM']['BILL_OF_RIGHTS']|e}}</a><br/>
<p>
<input value="Yes" type="checkbox" name="consent_parent" id="consent_parent" required data-rule-required="true" checked disabled> * {{ tl['PARTICIPANT_FORM']['TEXT_I_HAVE_READ_PARENT'] |e}}<br />
</p>
</div>
<div class="row mb-3">
<div class="col-md-6">
<label class="consent-form-label" for="parent_1_name">
{{ tl['PARTICIPANT_FORM']['PARTICIPANT_PARENT_1'] |e}} *
</label>
</div>
<div class="col-md-6">
{{ consent['parent_1_name'] }}
</div>
</div>
<div class="row mb-4">
<div class="col-md-6">
<span class="consent-form-label">
{{ _('Date Signed') }}
</span>
</div>
<div class="col-md-6">
{{ consent['date_time'] }}
</div>
</div>
</div>
{% endif %}
<!------------------------------- CONSENT/ASSENT FOR AGE 13-17 STARTS HERE --------------------------------------------->
{% if source_age == "13-17" %}
<div id="13-17-div">
<div class="consent-scroll-text">
{{ consent['assent_content'] }}
</div>
<div class="mt-2 consent-form-text">
<p>
<input value="Yes" type="checkbox" name="consent_child" id="13-17-form-consent_child" required data-rule-required="true" checked disabled> * {{ tl['PARTICIPANT_FORM']['TEXT_I_HAVE_READ_1'] |e}}<br />
</p>
</div>
<div class="row mb-3">
<div class="col-md-6">
<span class="consent-form-label">
{{ tl['PARTICIPANT_FORM']['PARTICIPANT_NAME'] |e}} *
</span>
</div>
<div class="col-md-6">
{{ source_name }}
</div>
</div>
<div class="consent-scroll-text">
{{ consent['consent_content'] }}
</div>
<div class="mt-2 consent-form-text" id="consent">
<a href="{{ _('https://oag.ca.gov/sites/all/files/agweb/pdfs/research/bill_of_rights.pdf') }}" target="_blank">{{ tl['PARTICIPANT_FORM']['BILL_OF_RIGHTS']|e}}</a><br/>
<p>
<input value="Yes" type="checkbox" name="consent_parent" id="consent_parent" required data-rule-required="true" checked disabled> * {{ tl['PARTICIPANT_FORM']['TEXT_I_HAVE_READ_PARENT'] |e}}<br />
</p>
</div>
<div class="row mb-3">
<div class="col-md-6">
<label class="consent-form-label" for="parent_1_name">
{{ tl['PARTICIPANT_FORM']['PARTICIPANT_PARENT_1'] |e}} *
</label>
</div>
<div class="col-md-6">
{{ consent['parent_1_name'] }}
</div>
</div>
<div class="row mb-4">
<div class="col-md-6">
<span class="consent-form-label">
{{ _('Date Signed') }}
</span>
</div>
<div class="col-md-6">
{{ consent['date_time'] }}
</div>
</div>
</div>
{% endif %}
<!------------------------------- CONSENT/ASSENT FOR AGE 18 AND ABOVE STARTS HERE --------------------------------------------->
{% if source_age == "18-plus" %}
<div id="18-plus-div">
<div class='consent-scroll-text'>
{{ consent['consent_content'] }}
</div>
<div class="mt-2 consent-form-text" id="consent">
<a href="{{ _('https://oag.ca.gov/sites/all/files/agweb/pdfs/research/bill_of_rights.pdf') }}" target="_blank">{{ tl['PARTICIPANT_FORM']['BILL_OF_RIGHTS']|e}}</a><br/>
<p>
<input value="Yes" type="checkbox" name="consent" id="age18_consent" required data-rule-required="true" checked disabled> * {{ tl['PARTICIPANT_FORM']['TEXT_I_HAVE_READ_1'] |e}}<br />
</p>
</div>
<div class="row mb-4">
<div class="col-md-6">
<span class="consent-form-label">
{{ tl['PARTICIPANT_FORM']['PARTICIPANT_NAME'] |e}}
</span>
</div>
<div class="col-md-6">
{{ source_name }}
</div>
</div>
<div class="row mb-4">
<div class="col-md-6">
<span class="consent-form-label">
{{ _('Date Signed') }}
</span>
</div>
<div class="col-md-6">
{{ consent['date_time'] }}
</div>
</div>
</div>
{% endif %}
{% endblock %}