Registration

If you are interested in participating in a study with your child/ren at the LCDU, you can sign up by using the webform below. Alternatively, you can download the registration form below and  return it via email to lcdu@leeds.ac.uk or to our postal address (see the bottom of this page).

Any information you provide will be used only by us to invite you to take part in our studies. It will be entered into our password-protected database, kept confidential, and will be automatically deleted when your child turns 16. If you would like your data deleted before that point, please email us at lcdu@leeds.ac.uk – you don’t have to give a reason. Any paper forms will be destroyed after the data has been transferred to the electronic format described above. By entering your data into any of the forms below, you are agreeing to these terms. If you would like to check or update your record, please get in touch with Dr Cat Davies, LCDU manager at lcdu@leeds.ac.uk

If you have any questions which aren’t answered on the website, just drop us a line at lcdu@leeds.ac.uk

Online Registration (webform)

Parent/Carer information

Title (required):

First Name (required)

Surname (required)

Contact address

Postcode:

Your Email (required)

Home Telephone:

Mobile:

Child/ren's Information

Name:

Date of Birth:

Gender:

Name:

Date of Birth:

Gender:

Name:

Date of Birth:

Gender:

Name:

Date of Birth:

Gender:

Name:

Date of Birth:

Gender:

Languages

The questions below are about the primary and secondary carers’ language backgrounds, their jobs, and your child’s development. Your answers will help us to recruit your child to appropriate studies.

Which language(s) do your children hear at home?

From primary caregiver: (tick one of the three)

Other language

What is the relationship between this caregiver and the child?

If this caregiver works outside the home, what job do they do?

From secondary caregiver: (tick one of the three)

Other language

What is the relationship between this caregiver and the child?

If this caregiver works outside the home, what job do they do?

Please list any hearing or other developmental impairments. Please specify which of these and for which child.

Please list any language delay diagnosis. Please specify which of these and for which child.

At how many weeks gestation was your child / were your children born? Please specify in weeks (+ days if known) for each child.

Contact

How did you hear about us?

Other source / location

Privacy

Any information you provide will be used only by us to invite you to take part in our studies. It will be entered into our password-protected database, kept confidential, and will be automatically deleted when your child turns 16. If you would like your data deleted before that point, please email us at lcdu@leeds.ac.uk – you don’t have to give a reason. Any paper forms will be destroyed after the data has been transferred to the electronic format described above. By entering your data into this form, you are agreeing to these terms. If you would like to check or update your record, please get in touch with Dr Cat Davies, LCDU manager at lcdu@leeds.ac.uk

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Thank you! We look forward to working with you.

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