Registration Your login name will be created automatically as your first name plus your last name plus the last 4 digits of your phone number. For example: Jenny Smith's phone number is 867-5309. Her login name would be jennysmith5309. First Name: Last Name: Last 4 digits of phone number: 4 digit number (to be used as password): Email: retype Email: Gender: femalemale Age Group: < 1818-29 30-3940-4950-59> 60 Ethnicity: African AmericanAsianCaucasianHispanicNative AmericanOther Address Line 1: Address Line 2 (if applicable): City: State: SCNCGAOther Zip Phone: Height (feet) (inches) Personal Weight Goal Group / Company (optional): (optional) create new group Allen Tate Company American & Efird Ashbrook Greenwaves Bahama Mamas BBandT BCHS Solemates Belmont Abbey College Belmont Central Elementary School Belmont Middle School Belmont Parish Nurse Ministry Bess Babes Bessemer City Central Middle Bessemer City Central School Bessemer City High School Bessemer City Primary School Brookside Elementary CaroMont Cardiac Health & Fitness Center CaroMont Health Carr Elementary Catawba County Government Catawba Heights Elementary CEENTA Chapel Grove Elementary Chemtura Cherryville Bunch Cherryville Elementary Cherryville Senior High School Christ Church (UMC) Gastonia CIA Citizens South City of Gastonia Parks and Recs Cline Learning System Cramerton Middle School CSC-Computer Sciences Corporation Danaher Tookl Group Dept of EC GCS Designlinx DRM Dollars and Sense East Gaston High School EAT (NC COOP EXT) Edward D. Sadler Elementary Event & Calendar Management Company First Wesleyan Christian Schools Forest Heights Elementary Forestview High School Freightliner Gardner Park Elem Gaston College-Faculty Gaston College-Students Gaston County Employees Gaston County Family YMCA Gaston County Schools Gaston County Schools EID Gaston County Woman's Club Gaston Regional Chamber Gastonia Jaycees Girl Scouts Carolinas Peaks 2Piedmont Grier Middle Health Department HH Beam Elementary HIghland Tech HIS Radio’s Big Losers Holbrook Middle Holy Angels, Inc. Hunter Huss High School John Chavis Middle Kings Plush, Inc Kiser Elementary Las Gorditas Lingerfelt Wellness Wildcats Lit Industries Lose United Lowee Elementary McAdenville Elementary McKinney Family Dealerships Meridian Specialty Yarn Group Mount Holly Middle National Gypsum New Hope Elementary North Belmont North Gaston High School Page Elementary School Pantron Automation Parkdale PCCS Percision Machine Products Pinewood Elementary Pink Ladies Pinnix, Inc. Pleasant Ridge Elementary Raleigh Rusties Rankin Elementary Rhyne Elementary Robinson Elementary Sherwood Elementary Sisters of Mercy-SCC Sonny Hancock South Gaston Leaders Club South Point Raider Roadrunners Southwest Middle Springfield Primary School Stanley Middle Team Costner Team Determination The Rotary Club of Gastonia Tindol Ford Lincoln Mercury TRC Tryon Elementary W.C. Friday Middle Wachovia Warlick School Webb Street Westfield WIX Wm. B. Beam Intermediate Women In Black Woodhill Elementary York Chester Middle (Please check to see if your group, business, or organization is participating. You can also join later by updating your profile.) Team (optional): (optional) create new team Caromont Cardiac Health & Fitness Center A-Team (The Nencetti's) Bess Babes Brookside Elementary School Catawba County Government church staff Cline Learning Center Cramerton Middle School Ivan_Family John Chavis Middle School Las Gorditas McAdenville Elementary Mount Holly Middle School Oscar Peoples Perkins Pruitt House (Cherryville) South Point Raider Roadrunners Team Costner Terrace Elementray School Woodhill Elementary School (Please check to see if your team is participating. You can also join later by updating your profile.) In addition to joining Activate South Carolina, you also have the opportunity to take part in a project to determine Activate South Carolina’s impact on body mass index and physical activity participation. Taking part in this project simply allows anonymous use of the information you enter on the Activate South Carolina website. There are no known risks for taking part in this study. Your participation is completely voluntary and in no way impacts your participation in Activate South Carolina. You have the right to withdraw from the study at any time without penalty. If you have any questions about this study, you may contact Dr. Alicia Powers of the Health and Exercise Science Department at Furman University (E-mail: alicia.powers@furman.edu; Phone: 864-294-3224). We are eager to have everyone participate in this project; however, if you do not wish to participate, please indicate below. I do want to participate in the project described above. I do not want to participate in the project described above, but understand I can still participate in Activate South Carolina. In submitting my entry, I for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have now or hereafter arising against the YMCA of Greenville, Greenville Hospital System, and Furman University, other YMCAs of South Carolina, North Carolina, and Georgia, and all sponsors and their employees, officers, directors, principals, agents, representatives, successors, and assigns, including but not limited to any and all claims of damages, injuries, demands, actions whatsoever, however they may occur, arising as a result of my participation directly or indirectly in said YMCA of Greenville programs. Furthermore, I hereby grant full permission to any and all of the foregoing to use my name, my voice, and/or picture in any broadcasts, telecasts, advertising, promotion or other account of this event for any purposes whatsoever without thought of remuneration. If under 18, parent’s signature required. I agree to the terms specified in the waiver
Your login name will be created automatically as your first name plus your last name plus the last 4 digits of your phone number.
For example: Jenny Smith's phone number is 867-5309. Her login name would be jennysmith5309.