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. Please feel free to email us at csc@psych.utoronto.ca if you have any questions!
Child's First and Last Name:
Your answer
Child's Birthdate:
MM
/
DD
/
YYYY
Child's English proficiency (1 = Doesn't speak English, 7 = fluent)
Doesn't speak English
Fluent
Child's Sex:
Parent 1's First and Last Name:
Your answer
Parent 1's Sex:
Parent 2's First and Last Name:
Your answer
Parent 2's Sex:
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?
Sibling Information (Name, Birthdate, Sex, English Proficiency)
Your answer
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