Registration Form

Caregiver First Name

Caregiver Last Name

City

Country

Phone Nr

Does your child have a autism diagnostic? Does your child have a autism diagnostic? Yes, an official diagnostic of autism is available No, autism has not been diagnosed, nor suspected

Child first name

Child last name

Date of Birth (DD-MM-YYYY)

Which languages does your child understand? Which languages does your child understand? English French German Spanish Italian

Message

13 + 1 =

Please fill in our registration form if you are interested in participating in our study or if you simply want to receive more information.

Once the form has been received and approved, we will contact you with further information and some questionnaires.

All information provided will be treated with confidentiality.