ImPact Baseline Testing
This form is only to be filled out while under the supervision of the Athletic Trainer. 
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Athletes First Name *
Athletes Last Name *
Fall Sport the Athlete will be participating in? (only choose 1)
If not participating in a fall sport please select N/A
 *
Winter Sport the Athlete will be participating in? (only choose 1) *
If not participating in a winter sport please select N/A
Spring Sport the Athlete will be participating in? (only choose 1) *
If not participating in a winter sport please select N/A
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