Improving Children's Academic Outcomes with Cognitive Training

Parents and guardians of typically developing children and adolescents aged 9-13.

If you and your child are interested in participating in Jonathan Jones' research study as part of the Centre for Clinical Neuropsychology Research (CCNR), University of Exeter, then please take time to read the information sheets below and fill in your and your child's details below.

Further information can be found below:

Registration Form

Parent/Guardian Details:

Parent/Guardian First Name:

Parent/GuardianSurname:

Landline number:

Mobile number:

Email address:

Home address:

Line 1:

Line 2:

Line 3:

Line 4:

Postcode:

Child's/Adolescent's Details:

Child First Name:

Child Surname:

Gender of child:
Male Female

Childs Date of Birth (dd/mm/yyyy):

Name of School::

School Year::

Class::

Eligibility:

Is your child fluent in English?
Yes No

Is your child right- or left-handed?
Left Right

Does your child have any hearing, sight or motor impairment?
Yes No

If yes, please give details:

Does your child have a developmental disorder (ADHD, Autism, Dyslexia, Intellectual Disability, Dyspraxia etc.) or an acquired brain injury?
Yes No

If yes, please give details:

Does your child take part in any regular after-school clubs or activities?
Yes No

If yes, please give details:

Submit form

Please make sure that you have filled out all the relevant fields before submitting the form.

Thank you for taking the time to register for this study.