U of T Child Study Centre Contact Form
Thank you for your interest in helping us with our research!! Please fill out the form below so that we know how to contact you when your child is eligible for one of our studies. Feel free to email us at csc@psych.utoronto.ca if you have any questions!

Only questions marked with a red asterisk are required. However, we would appreciate you providing us with as much information as you feel comfortable with, so that we only contact you about studies that are appropriate for your child.

This form allows you to sign up a maximum of 4 children in your family. If you have more than 4 children, please fill out an additional form.

For more information about us, please visit our website at https://childstudycentre.psych.utoronto.ca .
Child's first and last name: *
Your answer
Child's birthdate or expected birthdate: *
MM
/
DD
/
YYYY
Child's gender: *
Child's English proficiency for their age (1 = Doesn't speak English, 7 = fluent) *
Doesn't speak English
Fluent
Does your child have any developmental disorders that you want us to be aware of? If yes please specify below.
Your answer
Are you interested in participating in neuroimaging studies? I.e. fMRI *
Parent 1's first and last name: *
Your answer
Parent 1's gender: *
Parent 2's first and last name:
Your answer
Parent 2's gender:
Primary Phone Number *
Your answer
Secondary phone number
Your answer
Primary Email address: *
Your answer
Secondary email address:
Your answer
How would you prefer to be contacted? *
How did you hear about us? *
Would you like to register another child?
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy