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Child Contact Form
We are the Learning and Brain Development Lab! We explore how infants and children learn, develop, and focus their attention. Thank you for your interest in our studies!
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Parent 1 Name
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Parent 2 Name
Your answer
Primary Phone
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Your answer
Secondary Phone
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Primary Email
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Secondary Email
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Preferred Method of Contact
Email
Phone
Child's Name
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Child's Birthday
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Child's Sex
Male
Female
Other
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Do you have any other children?
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No
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Child's Name and Birthday
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Child's Name and Birthday
Your answer
Child's Name and Birthday
Your answer
Are you expecting?
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No
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If you are expecting, what is your due date?
Your answer
How did you find out about our lab and infant/child research opportunities?
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Any other comments for us?
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