Children’s use of Memory Strategies and how they Work in the Brain

Parents and guardians of typically developing children and adolescents aged 10-13.

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.

Registration Form

Parent/Guardian Details:

Parent/Guardian First Name:

Parent/GuardianSurname:

Landline number:

Mobile number:

Email address:

Email address confirmation:

Home address:

Line 1:

Line 2:

Line 3:

Line 4:

Postcode:

Child's/Adolescent's Details:

Child First Name:

Child Surname:

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

Gender of child:
Male Female

Ethnicity (e.g. White British):

School::

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:

MRI Safety Check

There are a number of important checks that must be done to ensure your child can safely participate in this study. Please read through the MRI safety form considering the questions on your child’s behalf. If the answer to any of these questions is yes, then it would not be safe for your child to participate in this study. Please note that this is a standard safety form, but not all of the questions are relevant to everyone.

Are you aware of any metal objects present within or about your child's body that cannot be removed whilst undergoing the MRI scan?
Yes No

If yes, please give details:

Is your child susceptible to claustrophobia?
Yes No


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.