Registration for study participation

By submitting this form, you consent to be contacted by the Technical University of Dortmund/Department of Developmental Psychology for the purpose of scheduling an appointment to participate in a scientific study. Participation is voluntary and consent can be revoked at any time by sending an email or letter to Prof. Dr. Zmyj.

Declaration of consent (gem. §4 DSG NRW)

Name, First name of a legal guardian *

Email address *

Name, Vorname des Kindes *

Gender of the child *

male

female

Date of birth of the child *

Calculated date of birth *

Street and house number *

Zip code and city *

Phone number *

Alternative phone number

Remarks/special features (e.g. illnesses, allergies, developmental abnormalities of the child)

Consent to processing *

I have read the privacy policy and accept the intended processing of the data entered.

Your information will only be used within TU Dortmund University to answer your questions and concerns. Your data will be deleted as soon as the request has been clarified. By submitting the form, your request will be processed to fulfill the tasks of TU Dortmund University with Art. 6 (1) (e) GDPR.
The link to our privacy notice with further information on data protection can be found at the bottom of the page.

*Pflichtfelder