Research Sign Up First Name*Last Name*Street Address*City*State/Province*NOT APPLICABLEUNITED STATESAL - AlabamaAK - AlaskaAZ - ArizonaAR - ArkansasCA - CaliforniaCO - ColoradoCT - ConnecticutDE - DelawareDC - District of ColumbiaFL - FloridaGA - GeorgiaHI - HawaiiID - IdahoIL - IllinoisIN - IndianaIA - IowaKS - KansasKY - KentuckyLA - LouisianaME - MaineMD - MarylandMA - MassachusettsMI - MichiganMN - MinnesotaMS - MississippiMO - MissouriMT - MontanaNE - NebraskaNV - NevadaNH - New HampshireNJ - New JerseyNM - New MexicoNY - New YorkNC - North CarolinaND - North DakotaOH - OhioOK - OklahomaOR - OregonPA - PennsylvaniaPR - Puerto RicoRI - Rhode IslandSC - South CarolinaSD - South DakotaTN - TennesseeTX - TexasUT - UtahVT - VermontVA - VirginiaWA - WashingtonWV - West VirginiaWI - WisconsinWY - WyomingUNITED STATES MILITARYAA - Armed Forces AmericasAE - Armed Forces EuropeAP - Armed Forces PacificCANADIAN PROVINCESAB - AlbertaBC - British ColumbiaMB - ManitobaNB - New BrunswickNF - NewfoundlandNT - Northwest TerritoriesNS - Nova ScotiaNU - NunavutON - OntarioPE - Prince Edward IslandQC - QuebecSK - SaskatchewanYT - YukonZip Code*CountryCanadaEnglandNorthern IrelandScotlandUnited StatesWalesPrimary Phone Number*Email Address*How did you find out about GenSpan?*Friend/Family MemberJust Between FriendsLititz Stroller GangMay-Grant OB/GYNPenn State Health/St. JosephPrego ExpoSocial MediaOther Other? Please specify...If referred by a friend, please fill in friend’s email addressWhat is your birth year?201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954What best describes your occupation?Not Employed, Stay at HomeAdministrative, OfficeBusiness, FinancialChild CareSocial ServiceComputer, MathematicalConstruction, Maintenance, RepairEducationEngineering, ArchitectureFood Preparation, ServingHealthLaw Enforcement, Protection, MilitaryManagementMarketing, SalesOther Other? Please specify...What is your total household income range, before taxes?Under $25,000$25,000-$44,999$45,000-$69,999$70,000-$99,999$100,000-$149,999$150,000-$199,999$200,000+If you are pregnant, please list your baby’s due dateYour Due Date MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Your Due Date Day12345678910111213141516171819202122232425262728293031 Your Due Date Year20242025If you have children, please list their birth datesChild 1 Birth Date MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Child 1 Birth Date Day12345678910111213141516171819202122232425262728293031 Child 1 Birth Date Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004Child 2 Birth Date MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Child 2 Birth Date Day12345678910111213141516171819202122232425262728293031 Child 2 Birth Date Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004Child 3 Birth Date MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Child 3 Birth Date Day12345678910111213141516171819202122232425262728293031 Child 3 Birth Date Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004Child 4 Birth Date MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Child 4 Birth Date Day12345678910111213141516171819202122232425262728293031 Child 4 Birth Date Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004Do you know anyone who works for a baby product company (Graco, Chicco, Fisher Price, etc.)?*NoYesCommentsWelcome to the club! As a member of GenSpan Baby Group you may receive occasional invites to get paid to participate in baby gear research. All participation is optional. Check here if you’d also like to receive emails with other fun and friendly communications from GenSpan.