Yes! We would like to participate. Thank you for your willingness to participate in our child development research. Our research would not be possible without the generosity of families like yours. Once we receive your information, we will contact you when we have a research opportunity to offer your family. At that time, we will explain to you the details of the study and you decide if you want to participate in that particular study. Parent Name* First Last Relation to Child*MotherFatherLegal GuardianSecond Parent Name First Last Relation to ChildMotherFatherLegal GuardianAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Phone Number*Is this a:*Cell PhoneHome PhoneWork PhoneAdditional Phone NumberIs this a:Cell PhoneHome PhoneWork PhoneHow would you prefer to be contacted?EmailPhoneNo PreferenceHow did you hear about our lab? (If you saw a flyer, please indicate location)*Child's Name (1)* First Last Date of Birth* Date Format: MM slash DD slash YYYY Gender*FemaleMaleChild's Name (2) First Last Date of Birth Date Format: MM slash DD slash YYYY GenderFemaleMaleChild's Name (3) First Last Date of Birth Date Format: MM slash DD slash YYYY GenderFemaleMaleChild's Name (4) First Last Date of Birth Date Format: MM slash DD slash YYYY GenderFemaleMaleChild's Name (5) First Last Date of Birth Date Format: MM slash DD slash YYYY GenderFemaleMaleChild's Name (6) First Last Date of Birth Date Format: MM slash DD slash YYYY GenderFemaleMale