ImPACT Baseline Testing

ImPACT At Home Baseline Testing

This registration page is for at-home testing for ages 12 and up only. If you are interested in an in-person test or to sign up an individual age 11 or younger please call Stuart Schmidt at 541-322-2323. Thank you.

Parent's First Name: Parent's Last Name: Parent Email: Day Phone: Enter the total number of people you are signing up for a baseline test. If you have a coupon, please enter code here (case-sensitive):

Waiver Statement:

By registering for this event, I give consent for The Center Foundation to adminster the ImPACT Concussion Baseline assessment to my child. I understand that the ImPACT Concussion Baseline test will be used only in the event that my child recieves a concussion and upon my request.

Yes, I agree

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