This form must be filled out by the parent or guardian of the game player. This is an unpaid volunteer position. All testing is done in Albany, NY. If you're over 18 and interested in a paid position please go to the Careers section for current openings.
*Fields marked in red are required. URLS and HTML code is not allowed in any form fields.
Parent/Guardian's First Name:
Parent/Guardian's Last Name:
Second Parent/Guardian's First Name:
Second Parent/Guardian's Last Name:
Player's First Name:
Player's Last Name:
malefemale
Player's Birthdate
Primary Contact Phone Number (Parent/Guardian):
Secondary Contact Phone Number (Parent/Guardian):
Primary Email (Parent/Guardian):
Secondary Email (Parent/Guardian):
Address:
City:
State:
Zip:
Preferred Method of Contact:
Phone Email
Where does your child play his/her games?
at home.
at his/her friend's house.
both at home and his/her friend's house.
Last game played:
Favorite Game of all time:
Favorite game genre?
Action
Board/Card Games
Fighting
Music
Party
Platformer
Racing
RPG
Shooter
Simulation
Sports
Strategy
Platforms played?
Nintendo Wii
Nintendo DS
Nintendo DSi
Microsoft Xbox 360
Sony PSP
Sony PS3
Apple iPhone
Apple iPod
Comments
* In order to prevent abuse of the system, please enter the 6 digit code you see below into the text entry field to the right before submitting this form.
