Please add my information to the CNLab research database!
Please complete the below information. If you are a parent who is volunteering a child, you are the "contact" and the child is the "participant". If you are the volunteer then you are the "contact" and the "participant".
Contact's First Name
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Contact's Last Name
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Contact's E-mail *
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Contact's Phone *
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Participant's Name
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Participant's Birth Month
Participant's Birth Year
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Participant's Gender *
Has the participant been diagnosed previously with autism or any other neurodevelopmental disorder (for example, ADHD)?
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If yes, please list the diagnosis: *
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