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Thank you for your interest in participating in a study in the Department of Brain and Cognitive Sciences at MIT!

The following information will be used only for our lab's purposes, and will not be distributed or made public in any way. The purpose of this form is to help us identify children who meet the criteria (age, gender, etc.) for various studies, and to be able to contact families as they qualify for new studies.

Please fill out a separate form for each child under the age of thirteen in your family.

* Required

Study Location Preference
"In Person" only applies if you are within reasonable traveling distance of our lab in Cambridge, MA.
Preferred method of contact
Address
Demographics
We ask for this demographic information to report aggregated information about participants and their families to our funders. We acknowledge that due to constraints in how they ask us to report demographics, the questions may seem very restrictive. You are welcome to skip any question you are not comfortable answering. All of your data will be kept strictly confidential.
Children
Please add each child you would like to have participate using the "Add new Child" button.