2017-18 ImPACT Testing Verification
The Jackson Hole Ski and Snowboard Club REQUIRES that all JHSC athletes with YOB 2005 or before (and strongly recommends for all athletes) to participate in a computerized concussion assessment program called ImPACT Testing (Intermediate Post-Concussion Assessment and Cognitive testing). ImPACT Testing was developed by medical professionals to help evaluate post-concussion injury and track recovery for return to participation.
Athlete's Name *
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Team Name (U14, Progression, etc) *
Date ImPACT testing was performed *
ImPACT testing identification number *
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Testing facility name *
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Parent or Guardian submitting this form *
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