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Impact Statement
Complete this form to submit your impact statement after hearing Jake's story.
You can use the following openers to inform Jake what you learned from his story/journey.

Jake, thank you for sharing your story.

Jake, thank you for taking the time to share about your injury.

Hi Jake, your story has showed me how decisions we make may have lasting impacts on our lives.

One of the things you mentioned you wanted us to think about was: (1. use forethought 2. Use caution and reserve. 3. Look out for those around you).


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Write your impact statement below (minimum 3 sentences). *
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