Participate with your child Your name: * First name & Surname Your phone number: * Your email: * If you are expecting, please enter your due date: (then move to the end of the form and hit submit) Your child's date of birth: Your child's name: First name & Surname What is your relationship to this child? Primary caregiver Other caregiver Other relation Your child's gender: Female Male Gender DiverseGender Diverse Was your child born before their due date? Before On due date After If your child was born before/after their due date, how many weeks before/after? Language/s your child is exposed to at home/school/day care etc. (please estimate %): e.g., English 80%, Te Reo 20% Would you consider your child bilingual? Yes No Does your child have any health, cognitive, developmental or behavioural issues that you would like us to know about? YesYes No Do you have any other children currently under 7 years of age? If so, feel free to enter their details in a new form OR you can include their information here: Information to include: First name, Surname, gender & birth date. How did you hear about us? Are you interested in receiving an annual newsletter of our research findings and activities? Yes No Comments: Captcha If you are human, leave this field blank.
