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Registration Form for children

Generated with MOOJ Proforms Version 1.5

 

If you want to sign up your child in our database and recieve information on ongoing studies in which your child could participate, simply provide the information below. Please, note that your registration is without commitment.        

As soon as we get your inscription, we will contact you to gather additional information. This will enable us to suggest you studies in which your child can participate. Of course, you can unsubscribe at any given moment of our database. Should you have any questions or concerns on the data base or studies, please do not hesitate to contact us.

 

Privacy policy: We will not sell, share, or otherwise distribute your personal data to third parties. 

 

 

 

 

*Required information.
Parent's name * Write your family name
Child's first name * Enter your child's first name
Child's gender Select the child's gender
Child's date of birth * Write your child's date of birth under this format AAAA-MM-DD or select the date in the calendar.
Address Enter your address
Characters left:
email * What is your email address?
GSM Enter your mobile phone number
Characters left:
If you activate this checkbox; you will obtain a confirmation email of the submitted data.
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ACTE
  • Français
  • English (UK)
  • Home
  • Center
  • Labmobile
  • Team
  • Ongoing studies
    • Children
    • Adults
  • Participate
    • Information for parents
    • Information for adults
  • Publications
    • Scientific publications
    • Results of our studies in videos
  • Contact
    • Contact persons
    • Find us
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