By selecting “I Agree” below, I understand that the personal information I am providing may be collected, shared, used, and/or transferred by the screening event support staff or study team for the purpose of enabling me to be contacted to learn more about the screening event. I understand there is no guarantee that I will be contacted by a member of the screening event support staff or study team as a result of submitting this information. I am also aware that I may be contacted in the future about other studies for which I may be eligible.
By clicking “I Agree” below, I confirm that:
The name and phone numbers I have provided belong to me are correct, and I am interested in being contacted (by Text, Email, or Phone).