Volunteer Participant Information

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years old
Lbs.
Check all that apply.
(Please give details of the symptoms checked above.)
(Fell off bike, fell off horse, playing hockey, hit in the head with a baseball bat, car accident, etc.)
Seconds / Minutes / Longer
(For example, skull x-ray, CAT or MRI scan, EEG)
(Woken up every hour by parents, spouse, etc. during the night)
(Headaches, nausea, dizziness, seizures)
(For example, no sports for weeks / months)