Early Language and Social Cognition Study

Thank you for your interest in participating in a research study at the UC Merced Center for Early Cognition and Language. Please complete the form below and one of our staff will contact you shortly. All information that you provide us will be kept strictly confidential.

If you would more information about our research you can contact us at cecl@ucmerced.edu or you can visit our website or facebook page.

Your name *

Your email *

Your phone number *

Your child's first name *

Your child's birthdate *

Month

Day

Year

Your child's sex

male

female

What is your preferred contact method? *

Phone

Email

If you prefer to be contacted by phone, please tell us the best days and times to reach you.

Have you been to our center before?

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Is there any additional information that you would like to let us know?

If you have additional children who could participate, you can tell us about them here.

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Early Language and Social Cognition Study

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