Register Registration Step 1 of 4 25% Athlete InformationAthlete Name* First Last Athlete Date of Birth Date Format: MM slash DD slash YYYY Athlete Grade*Select a Grade3rd4th5th6th7th8th9th10th11th12thSchool Type*Select a School TypeElementary SchoolMiddle SchoolHigh SchoolPrivate SchoolElementary School Name*Select Elementary School NameA.S. Rhodes Elementary SchoolApple Pie Ridge ElementaryArmel Elementary SchoolAshby Lee Elementary SchoolBass-Hoover Elementary SchoolBlue Ridge Elementary SchoolBoyce Elementary SchoolC.W. Shipley Elementary SchoolD G Cooley Elementary SchoolDriswood Elementary SchoolE Wilson Morrison Elementary SchoolEvendale Elementary SchoolFrederick Douglass Elementary SchoolGarland R. Quarles Elementary SchoolGainesboro Elementary SchoolGreenwood Mill Elementary SchoolHilda J. Barbour Elementary SchoolIndian Hollow Elementary SchoolInwood Primary SchoolJohn Kerr Elementary SchoolLeslie Fox Keyser Elementary SchoolMiddletown Elementary SchoolNorth Jefferson Elementary SchoolOrchard View Elementary SchoolPage Jackson Elementary SchoolRanson Elementary SchoolRedbud Run Elementary SchoolRessie Jeffries Elementary SchoolSandy Hook Elementary SchoolShepherdstown Elementary SchoolStonewall SchoolVirginia Avenue Charlotte DeHart Elementary SchoolW. W. Robinson Elementary SchoolMiddle School Name*Select Middle School NameAdmiral Richard E. Byrd Middle SchoolBlue Ridge Primary SchoolCharles Town Middle SchoolDaniel Morgan Middle SchoolFrederick County Middle SchoolHarpers Ferry Middle SchoolJames Wood Middle SchoolJohnson-Williams Middle SchoolMill Creek IntermediateNorth Fork Middle SchoolPeter Muhlenberg Middle SchoolRobert E. Aylor Middle SchoolShepherdstown Middle SchoolSignal Knob Middle SchoolSkyline Middle SchoolWarren County MIddle SchoolWildwood Middle SchoolHigh School Name*Select High School NameJames Wood High SchoolJohn Handley High SchoolMillbrook High SchoolSherando High SchoolSkyline High SchoolWarren County High SchoolMountain Vista Governor's SchoolCentral High SchoolStrasburg High SchoolStonewall Jackson High SchoolMusselman High SchoolWashington High SchoolJefferson High SchoolClarke County High SchoolPrivate School Name*Select Private School NameLegacy Christian AcademySacred Heart AcademyShenandoah Valley Christian AcademyPowhatanAddress* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Medical InformationDoes the athlete have allergies?*YesNoAlergiesIs the athlete currently taking any prescription medicine?*YesNoMedicationReason for medication and frequency?Health Care InformationInsurance Provider*Hospital Preference* Guardian InformationFirst Parent Name* First Last First Parent Email* First Parent Phone*Second Parent Name First Last Second Parent Email Second Parent Phone Agree to Terms & ConditionsAs the legal guardian, you must read and agree to ALL 3 documents belowRead the Winchester Rising Stars Refund, Playing GrievanceI have read and agree to the Refund/Playing Time/Grievance Policies* I Agree Read the Winchester Rising Stars Release, Covenant Not to Sue & Assumption Of RiskI have read and agree to the Release, Covenant Not to Sue, And Assumption Of Risk - Minor Participant* I Agree Read the Winchester Rising Stars Waiver & Release of LiabilityWinchester Rising Stars Waiver & Release of Liability* I Agree
