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Sports for Juvenile Justice Consent & Release
All program participants will receive a T-shirt and sports bra. Please complete all fields below.
Please email
info@teamupphilly.org
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* Indicates required question
Participant name
*
Your answer
Participant T-shirt size
*
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Participant Sports Bra Size
*
Adult XS
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Parent/Legal Guardian Name
*
Your answer
Street Address
*
Your answer
City, State Zip
*
Your answer
Phone Number
*
Your answer
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