Heart of a Champion Day is currently only offered to Atrium Health partner high schools. Students that aren't at one of the following schools in the dropdown, will not be able to attend.
Students are required to complete full registration with Parent or Guardian present.
*Please take the time, read through the questions, and answer to the best of your knowledge*
* = Required Information
This form is for the 2026-27 School Year
*
Have you ever participated in Heart of a Champion Day before?
Required
Yes
No
If Yes, what years?
Personal Emergency Contact Information
*
Student ID:
Required
*
School Attending Next Year:
'Select One'
Albemarle HS
AL Brown/Kannapolis
Anson HS
Central Academy of Tech & Arts (CATA)
Central Cabarrus
Concord HS
Cox Mill
Cuthbertson
Forest Hills
Gray Stone Day
Hickory Ridge
JM Robinson
Marvin Ridge
Monroe
Mt Pleasant
Northwest Cabarrus
North Stanly
Parkwood
Piedmont
Porter Ridge
South Stanly
Sun Valley
Union Academy
Weddington
West Cabarrus
West Stanly
Required
*
Grade Entering:
'Select One'
9th
10th
11th
12th
Required
*
Legal First Name:
Required
Legal Middle Initial:
*
Leagal Last Name:
Required
*
Street Address:
Required
Apt/Unit:
*
City:
Required
*
State:
Required
*
Zip:
Required
*
DOB:
DOB mm/dd/yyyy
*
Age:
Required
:
*
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)
Declined
Required
*
Gender assigned at birth:
'Select One'
Male
Female
Required
*
Students Email:
Required
*
Students Phone#:
Required
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
*
Parents Email:
Required
Email will be used for further instructions
Family Physician/Pediatrician:
Physician Phone:
*
Preferred Hospital:
'Select One'
Atrium Health Cabarrus
Atrium Health Lincoln
Atrium Health Main
Atrium Health Mercy
Novant Health Presbyterian
Atrium Helath Pineville
Atrium Health Union
Atrium Health University
Novant Health Huntersville
Novant Health Matthews
Other
Required
*
Permission To Transport To Hospital:
'Select One'
Yes
No
Required
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