Game Day Ready Registration
*Please take the time, read through the questions, and answer to the best of your knowledge*
* = Required Information
*
Have you ever participated in Game Day Ready before?
Required
Yes
No
If Yes, what years?
*
Have you ever participated in organized football wearing a helmet, such as Pop Warner?
Required
Yes
No
At what age did you begin?
Personal Emergency Contact Information
*
Student ID:
Required
*
School Attending Next Year:
'Select One'
Albemarle MS
Albemarle HS
West Stanly MS
West Stanly HS
North Stanly MS
North Stanly HS
South Stanly MS
South Stanly HS
Gray Stone Day MS
Gray Stone Day HS
Oakboro Choice Stem
Other
Required
*
Grade Entering:
'Select One'
6th
7th
8th
9th
10th
11th
12th
Required
*
First Name:
Required
Middle Initial:
*
Last Name:
Required
*
Street Address:
Required
Apt/Unit:
*
City:
Required
*
State:
Required
*
Zip:
Required
*
Phone#:
Required
*
DOB:
DOB mm/dd/yyyy
Race:
'Select One'
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Two or More Races (not Hispanic or Latino)
*
Age:
Required
*
Gender:
'Select One'
Male
Female
Required
Email:
Parent/Guardian Information
*
Parent(s)/ Legal Guardian(s) Residing With:
Required
*
Who Has Custody:
Required
*
Fathers Name:
Required
*
Alternate Phone (Work/Cell):
Required
*
Mothers Name:
Required
*
Alternate Phone (Work/Cell):
Required
Family Physician/Pediatrician:
Physician Phone:
*
Preferred Hospital:
CHS Stanly
*
*
Permission To Transport To Hospital:
'Select One'
Yes
No
*
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