Parent Contact Information – Learning and Brain Development Lab

Learning and Brain Development Lab

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Learning & Brain Development Lab

Menu

Home
Meet the Lab
- Meet the Lab
- Get Involved
Research
- Infant & Child Studies
- Participate
Publications
Participate
News
Local Resources
Gallery

Join us in exploring how infants and children pay attention and learn!

We invite parents to complete this form to stay updated on exciting opportunities for your infants and children to participate in research!

Please reach out at lbdlab@tulane.edu or 504-862-3312 with any questions.

Join us in exploring how infants and children pay attention and learn!

Complete this form to stay updated on research opportunities for your family! Feel free to reach out with any questions at lbdlab@tulane.edu or 504-862-3312.

Infant and Child Contact Form

Parent Contact Information

Your Name(Required)

Please enter the parent that you prefer we reach out to here.

First Last

Phone Number(Required)

Alternate Phone Number

Primary Email(Required)

Alternate Email

Parent 2 Name

First Last

What is your preferred method of contact?

Phone

Email

No preference

Other

Please specify preferred method of contact:

Please share your cellphone carrier below.

Our current text messaging system requires that we enter this information.

Infant and/or Child Information

Are you expecting?

Yes

No

Due Date

Gender (if known)

Male

Female

Unknown

Do you have any children?

Yes

No

Child's Name(Required)

First Last

Child's Birthdate(Required)

Month

Day

Year

Child's Sex

Male

Female

Other

Do you have any other children?

Yes

No

Second Child's Name

First Last

Second Child's Date of Birth

Second Child's Sex

Male

Female

Other

Third Child's Name

First Last

Third Child's Date of Birth

Third Child's Sex

Male

Female

Other

Do you have any additional children that you would like to enter?

Yes

No

Fourth Child's Name

First Last

Fourth Child's Date of Birth

Fourth Child's Sex

Male

Female

Other

Fifth Child's Name

First Last

Fifth Child's Date of Birth

Fifth Child's Sex

Male

Female

Other

How did you find out about the LBD Lab and our research opportunities for infants and children?(Required)

Any other comments for us?

Current Studies

Learning and Brain Development Lab

lbdlab@tulane.edu | 504-862-3312

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