DNA Test - Client Data

Suggested Testing Date & Time

Please select the date and time for testing the child(ren). The alleged father(s) are welcome to attend at this time, or we can arrange to meet them at a location you specify below. The testing process will take approximately 15 to 30 minutes, depending on the number of tests requested.
Ideal Appointment*
Main Contact

Please enter your personal information. Results will ONLY be sent to the main contact.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
Is the main contact, the other party being tested on cordial terms?*
Is the mother/other party aware that a DNA test is being completed? *
Please note that this is not a requirement to complete a Peace of Mind DNA Test but is a requirement for a Legal (court-admissible) DNA test.
Type of DNA Test*
.
Testing address:*
Children's Information

This section is for anyone being tested that is 17 or under.
Child #1

First NameLast Name
Child #1 - Date Of Birth

MonthDayYear
Child #2

First NameLast Name
Child #2 - Date Of Birth

MonthDayYear
Child #3

First NameLast Name
Child #3 - Date Of Birth

MonthDayYear
Child #4

First NameLast Name
Child #4 - Date Of Birth

MonthDayYear
Child #5

First NameLast Name
Child #5 - Date Of Birth

MonthDayYear
First Testing Adult's Information

This section is for anyone who is taking the a DNA test that is 18 or older.
First Adult's Name*

First NameLast Name
First Adult's Date Of Birth

MonthDayYear
First Adult's Phone Number*
Please enter a valid phone number.
First Adult's Email
Testing address of alleged father #1: (if different from above) Each additional testing address/appointment is a $25 travel fee.
Second Adult's Information

This section is for anyone who is taking the a DNA test that is 18 or older.
Second Adult's Name

First NameLast Name
Second Adult's Date Of Birth

MonthDayYear
Second Adult's Phone Number
Please enter a valid phone number.
Second Adult's Email
Testing address of second testing adult: (if different from above) Each additional testing address/appointment is a $35 travel fee.
Third Testing Adult's Information

This section is for anyone who is taking the a DNA test that is 18 or older.
Third Adult's Name

First NameLast Name
Third Adult's Phone Number
Please enter a valid phone number.
Third Adult's Email
Testing address of third testing adult: (if different from above) Each additional testing address/appointment is a $35 travel fee.
I understand that the total costs must be paid at least 24 hours before the first appointment or at least 4 hours before the test if booking same day?*
I understand that there only 1 testing location is included in the test additional testing locations / additional appointments will be a $35 charge.*
I understand the refund policy outlined on our website.*
I understand that results are only emailed to the person listed above as the main contact. *
Signature

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DateTime
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Suggested Testing Date & Time

Main Contact

Children's Information

First Testing Adult's Information

Second Adult's Information

Third Testing Adult's Information