ImPact Testing Permission
Please fill out this form to indicate permission for your child to register an account and participate in the concussion baseline testing.

If you have any questions, please contact the school at 508-655-6670.

For more information about the tool, visit

For more information about the data collected, visit

Child's Name *
First and Last
Your answer
Permission - Y or N *
Name of Parent/Guardian *
Your answer
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