Institute for Research in Child Development

Take A Look Baby! Project (TALBY)

Sign up for 'Learn about your baby' session

The information given below is treated in the strictest confidence and will only be used for our research purposes.

Please note that we will invite you when your baby reaches the age of 6 and 7 months.

Please fill in the form below and press the "Submit" button.

Please note: Field marked with an * is mandatory and must be completed.

*Baby's name: *Baby's date of birth (dd/mm/yyyy): *Baby's Gender: Female Male

*Parent's Name: Street Address: City: Postcode: Email Address: Contact Telephone/Mobile Number (no spacing allowed):

*Children's Centres:

Please indicate, which of the six Children's Centres in East London is nearest to you:

Newham	Tower Hamlets
Newtec 22 Deanery Rd., Stratford, E15 4LP	Overland 60 Parnell Rd., Bow, E3 2RU
Oliver Thomas Mathews Ave., East Ham, E6 6BU	Colingwood St Bartholomew Gardens Buckhurst St., E1 5QT
St. Stephens Whitfield Rd., East Ham, E6 1AS	Wapping 15 Chandler St., E1W 2QL

Comments/Questions you would like to ask:

Use "Submit" button to send: or Click "Reset" to clear entries:

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Institute for Research in Child Development

Take A Look Baby! Project (TALBY)

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