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Expression of interest: QBI concussion study
Thank you for your interest in the Queensland Brain Institute (QBI) concussion study. After you complete this short form, our study coordinator will be in touch via email or phone to discuss the next steps. Please note that information provided to QBI is held in strict confidence.
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This research study aims to ultimately improve the safety of contact sports
Parent's first name?
 *
Parent's last name
 *
Parent's phone number
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Parent's e-mail address
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Parent's preferred contact method
Student's first name *
Student's last name *
Student's school *
Student's year level
Student's age *
Required
Student's sport *
Required
Does the student have a history of neurological symptoms or severe concussions? *
Required
Is the student a boarder?
How did you hear about the study?
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