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Child Development Labs at the University of Ottawa – Family Sign-Up Form

 

By filling out this form, you agree that we may contact you if one of your children appears eligible for one of our studies. This does not obligate you or your child(ren) to participate in any study, and you may request at any time that we remove your contact information from our database.

 

 

 

What language do you prefer to be contacted in?
How do you prefer to be contacted?
What type of activity do you prefer?
Do you live in the Ottawa area?
Child 1
Child 1:
Sex assigned at birth
Child 1:
Gender
Child 1:
Language(s) understood by child
Child 1:
Date of birth
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Child 2

Child 2:
Sex assigned at birth
Child 2:
Gender
Child 2:
Language(s) understood by child
Child 2:
Date of birth
--

Child 3

Child: 3:
Sex assigned at birth
Child 3:
Gender
Child 3:
Language(s) understood by child
Child 3:
Date of birth
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Child 4
Child 4:
Sex assigned at birth
Child 4:
Gender
Child 4:
Language(s) understood by child
Child 4:
Date of birth
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Additional Child Information
Do you have any more children other than those listed above?
Additional Information
How did you hear about us?