Baseline Concussion Testing Sign-Up
Please fill out the following form if you are interested in attending one of the following Baseline Concussion Testing sessions. They will be held at St. John's-Kilmarnock School, at 2201 Shantz Station Road in Breslau, ON. The cost is $20 and is available to people 10 years of age and older.
Participant's Name *
Your answer
E-mail address *
Your answer
Phone Number *
Your answer
Which session would you like to attend?
I can bring a laptop with a mouse (or a USB port for a supplied mouse). *
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