An injury can happen to anyone at anytime. If you do not wish your child to be enrolled into the TIC-TOC study, complete the form below. Once your child is placed on this list, the researchers will know not to enroll them in this study.

Note that this study will not enroll any child who is 18 years or older.

Tip: After each entry, TAB to the next field.

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You have selected an option that triggers this survey to end right now. To save your responses and end the survey, click the button below to do so. If you have selected the wrong option by accident and do not wish to leave the survey, you may click the other button below to continue, which will also remove the value of the option you just selected to allow you to enter it again and continue the survey.
The response has now been removed for the last question for which you selected a value. You may now enter a new response for that question and continue the survey.