PIC - Urban American Indian Families Study

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PIC - Urban American Indian Families Study

Thank you for your interest in the Urban American Indian Families Research Study.

You may be eligible to participate in a parenting research study conducted by Arizona State University. We’re inviting you and your family to a 10-week parenting program aimed to improve the health of urban American Indian and Alaska Native families. Participation in this study may earn your family up to $200 in gift cards.

We define "parent" as the primary caregiver responsible for day-to-day decisions (health, education, and social) for children.

Please complete the following form to see if you and your family are eligible to participate in our research study.

Parent/Guardian First Name *

Parent/Guardian Last Name *

Cell Phone Number *

Please enter phone number with hyphens ###-###-####

Home Phone

Please enter phone number with hyphens ###-###-####

Message Phone

Please enter phone number with hyphens ###-###-####

Who to leave message with?

Email Address

Preferred Method of Contact

(Select ALL that apply)

Cell Phone

Home Phone

Message Phone

Email Address

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