Neuroverse Kids (Star) Tester Registration

Star Tester Application

Join our early access team and help shape the Neuroverse Kids game. This form is designed to be clear, confidential, and accessible for all families. Applicants under 13 should not continue without a parent or legal guardian completing this form.
Select your preferred language for this form*
Choose the language you’d like to use to complete the application.
Are you the child’s parent or legal guardian?*

Yes, I am the parent or guardianNo, I am not the parent or guardianNot applicable
Parent or guardian full name*

First NameLast Name
Parent or guardian email address*
example@example.com
Child’s full name*

First NameLast Name
How will parental consent be provided?*

Email consent formVerbal consent from parent/guardianOther documented consent
Child’s age*
Enter the child’s age in years.
Child’s birthdate*

MonthDayYear
Date
Choose Your Cadet Name

Create your cadet identity in the next few questions.
Choose a space theme*
Select the theme you want for your cadet name.
Choose a power word*
Pick a word that best represents you.
Your cadet name*
Child’s neurotype*
Devices available at home*

Desktop computerTabletSmartphoneOther
Why do you want to be a Star Tester?*
I understand participation is voluntary.*

Yes, I understand participation is voluntaryNo, I do not understand
I agree not to share pre-release content.*

Yes, I agree not to share pre-release contentNo, I do not agree
I agree to the Privacy Assurance (data will never be sold or shared).*

Yes, I agree to the Privacy AssuranceNo, I do not agree
I understand this is a pre-release testing program, and we do not offer medical advice or make medical diagnoses.*

Yes, I understand this is a pre-release testing programNo, I do not understand
Parent or guardian digital signature*

Sign to confirm consent and agreement.
Star Tester Application

English version of the Star Tester form.
Select the language for completing this form*
Choose the language you’d like to use.
Are you the child’s parent or legal guardian?*

Yes, I am the parent or guardianNo, I am not the parent or guardianNot applicable
Parent or guardian full name*

First NameLast Name
Parent or guardian email address*
example@example.com
Child’s full name*

First NameLast Name
Child’s age*
Enter the child’s age in years.
Child’s birthdate*

MonthDayYear
Date
If the child is under 13, how will parental consent be provided?*

Email consent formVerbal consent from parent or guardianOther documented consent
Choose Your Cadet Name

Create your cadet identity in the next few questions.
Choose a space theme*
Select the theme you want for your cadet name.
Choose a power word*
Pick a word that best represents you.
Your cadet name*
Child’s neurotype*
Devices available at home*

Desktop computerTabletSmartphoneOther
Why do you want to be a Star Tester?*
Accessibility Needs (please specify any accommodations you require)
I understand that participation is voluntary.*

Yes, I understand participation is voluntaryNo, I do not understand
I agree not to share pre-release content.*

Yes, I agree not to share pre-release contentNo, I do not agree
I agree to the Privacy Assurance (data will never be sold or shared).*

Yes, I agree to the Privacy AssuranceNo, I do not agree
I understand this is a pre-release testing program, and we do not offer medical advice or make medical diagnoses.*

Yes, I understand this is a pre-release testing programNo, I do not understand
Parent or guardian digital signature*

Sign to confirm consent and agreement.
Please verify that you are human*
Should be Empty:

Star Tester Application

Choose Your Cadet Name

Star Tester Application

Choose Your Cadet Name