Child Participant Signup
Thank you so much for your interest in the Hartley Lab! As a participant, your child (3-17 years old) will come with you to the Hartley Lab (Washington Sq Campus) to play computer games and fill out questionnaires. Some of our studies also involve an MRI scan. They will be compensated $15-30/hour for their time.

Please complete the survey below if you are interested in having your child participate! If you have multiple children who are interested and eligible, please include all of them in this survey. Once we have received your information, we will contact you to schedule an appointment if we have a study available.

Note: If your child is 18+, please have them fill out the adult signup:

Most of our studies have specific eligibility requirements. These requirements are listed below. Please complete our survey for your children that meet the following eligibility criteria.

1. Fluent in English

I am willing to have the information I supply in this survey saved and accessed by members of the Hartley Lab for recruitment purposes. *
Parent Name: *
Your answer
Parent Email: *
Your answer
Parent Phone Number: *
Your answer
Teen email (optional, only if you'd like us to email both you and your 13-17 year old)
Your answer
Do you have multiple children?
First name, age, month of birth, and gender of each child: e.g. Sam, 13 y.o., February, F & Haley, 15 y.o., September, M *
Your answer
Please specify the best time to reach you: (e.g. weekday evenings after 5pm) *
Your answer
How did you hear about us? *
Some of our studies involve an MRI scan. To be eligible for an MRI study your child must:
1. Be willing to have an MRI scan and have your permission to do so
2. Be right handed
3. Not have any metal in their body (e.g. clips, pins, pacemaker)
4. Not have any metal dental work (e.g. braces, permanent retainer)
5. Not be claustrophobic
Does your child meet all of the criteria above? *
Thank you for completing our survey. We will be in touch when we have a study that your child may be eligible for!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service