Sign up to Participate!
Thank you for your interest in having your baby/child participate in our studies at the UC San Diego Mind, Experience & Perception Lab (formerly Infant Vision Lab)! Please fill in all fields so we can get you started in participating. Should you have any questions, please contact us at (858) 822-0642 or infantvisionlab@gmail.com

**Please add N/A in the required fields that are not applicable to you**

Infant/Child Information
Child's first name
Your answer
Child's last name
Your answer
Sex
Date of Birth
Your answer
Due Date
Your answer
How was the due date determined?
Required
If ultrasound, how far into the pregnancy was the ultrasound that determined the due date? (In weeks)
Your answer
Birth Weight
Your answer
Birth Height
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms