Change your contact information and address

ABCD participant

Data of the ABCD participant (the child)

Full name of the ABCD participant(Required)

First name Surname

Date of birth(Required)

Day

Month

Year

Which data do you want to change?(Required)

Address

Contact information

Both

Address

Old address(Required)

Street House number city Postal code

New address(Required)

Street House number City Postal code

Starting date of change(Required)

Day

Month

Year

Contact information

Please only fill in the fields of the contact information that have changed.

Phone number ABCD participant (child)

Phone number (biological) mother

Phone number father or second mother

E-mail address ABCD participant (child)

E-mail address (biological) mother

E-mail address father or second mother

Other

Submitter: please fill in your personal details here.

Your full name(Required)

First name Surname

Your e-mail address(Required)

Addition, comments, questions

Do you want to clarify something, give an explanation, or do you have a question for the researchers? Then please enter it here.

News letter

Would you like to receive our news letter? On 25 May 2018, the new privacy law, the Algmene Verordening Gegevensbescherming (AVG), came into effect. To comply with this new law, we must ask you explicitly for permission to send our newsletter to you. You can do this by simply ticking the box below, but only after we inform you about the following: your personal details (e-mail, name) are only stored for sending you the news letter. Your personal details are not sold or made available to third parties. U can request us at any moment to remove your contact details from our database. Ticking this box has the same juridicial status as placing your signature.

Yes, I would like to receive the ABCD newsletter

No (you already receive the ABCD newsletter or do not want to receive it)

Email

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