Register (Child)

Complete the form below to register your child as a potential participant. You may also register as a parent or legal guardian using the adult registration form.

Are you 18 or older?(Required)

Hidden

Section Break

Have you ever registered your child to become a panelist with North Cliff?(Required)

Hidden

Section Break

Child's name(Required)

First Last

Child's gender at birth(Required)

Male

Female

Child's ethnicity(Required)

Child's date of birth(Required)

mm/dd/yyyy

What's your chlid's current age?(Required)

If your child is under 3, please list age in months.

Parent/guardian name(Required)

First Last

Parent/guardian email(Required)

Parent/guardian phone(Required)

Select your preferred location(Required)

Address(Required)

Street Address City State ZIP Code

If your child wears diapers, what size?

Does your child have asthma?(Required)

Yes

Is your child diabetic?(Required)

Yes

Is your child interested in participating in taste tests?

Yes

Which best describes your child's skin after 45+ minutes of non-winter sun exposure without sunscreen?(Required)

List any prescriptions or over-the-counter medications that your child takes regularly (Type "None" if no medication)(Required)

List any medical illnesses your child has been diagnosed with (Type "None" if no illnesses)(Required)

List any allergies that your child has to products, foods, etc. (Type "None" if no allergies)(Required)

How did you hear about North Cliff?

Message (optional)

Hidden

Section Break

Child's name(Required)

First Last

Parent/guardian email(Required)

Parent/guardian phone

Message

If you've already registered your child with North Cliff and need to contact us, please call (513) 245-2800 or type your message below.

Please have your parent or legal guardian complete this form.

Comments

This field is for validation purposes and should be left unchanged.

Please Note: By entering your email address and/or phone number and submitting this form, you agree to receive communications (e.g., call, SMS text, and/or email) from North Cliff about your profile and study opportunities. Submissions on this website are not monitored 24/7. Please do not submit personal health or medical information.

Phone

(513) 245-2800

Participant Info

recruiting@northclifftesting.com

3747 Warsaw Avenue, Cincinnati, Ohio 45205

6831 Colerain Ave, Cincinnati, OH 45239