Consent form

By signing this consent form, you are not waiving your legal rights or releasing the investigator(s) or involved institution(s) from their legal and professional responsibilities.

I have read the information presented in the Letter of Information about the research being conducted by Dr. Susan Elliott and Dr. Francesca Cardwellof the Department of Geography and Environmental Management at the University of Waterloo, Dr. Ann Clarke of the University of Calgary, and Dr. Elijah Bisung of Queens University. I have had the opportunity to ask any questions related to this event, and to receive satisfactory answers to my questions.

Upon completion of the study, the data collected for the research will be deleted or shredded (in Spring, 2020). I am also aware that excerpts from the hackathon may be included in reports or publications that come from this research, with the understanding that the quotations will be anonymous. I am aware that I may withdraw from the study without penalty at any time by advising the researchers of this decision, however the data that I have contributed will not be able to be withdrawn and will remain in the dataset.

This study has been reviewed and received ethics clearance through a University of Waterloo Research Ethics Committee (ORE #40295). If you have questions for the Committee contact the Office of Research Ethics, at 1-519-888-4567 ext. 36005 or

For all other questions contact Francesca Cardwell ( or Susan Elliott (

Print Name

Signature of Participant



When this research is complete, a digital summary report will be made available for all participants. If you wish to receive a copy of this report, please include your email address below:

I would like to receive a digital copy of the summary of results (please circle):

  • Yes
  • No

If yes, my email address is: