ImPACT Testing 11:00am July 19, 2018
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Child's Name *
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Grade School Year '18-'19 *
Has this child had a baseline ImPACT Test Before? *
Contact Information (email) *
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Contact Emergency Phone number in case of computer lab issues and testing needs to be cancelled.
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I hereby give Hudson Memorial School my permission to administer ImPACT Baseline Concussion Testing (Official Electronic Signature of Parent/Guardian) *
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