S.A.V.E. T.H.E.M
Stomping Away Various Epidemics by Teaching Health Education and Mentoring *STEPTEAMS PARTICIPATION FORM *Step teams please complete this form and return it to Christopher Covington by email, coving16@gmail.com.If you have any questions, please call 313-574-7852
Name
*
First Name
Last Name
Email
*
example@example.com
Organization/School
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Agreement of Images
Yes, We agree to videography and photography
Yes, We agree to be posted to SAVTHEM social media.
Organization/School Step Team Name
*
Number of Team Members
wishes to participate in the SAVE THEM youth step show and resource fair. SCHOOL OR ORGANIZATION *STEP TEAM MEMBERS' NAMES (Max. 15)
Step Team Member 1.
First Name
Last Name
Step Team Member 2.
First Name
Last Name
Step Team Member 3.
First Name
Last Name
Step Team Member 4.
First Name
Last Name
Step Team Member 5.
First Name
Last Name
Step Team Member 6.
First Name
Last Name
Step Team Member 7.
First Name
Last Name
Step Team Member 8.
First Name
Last Name
Step Team Member 9.
First Name
Last Name
Step Team Member 10.
First Name
Last Name
Step Team Member 11.
First Name
Last Name
Step Team Member 12.
First Name
Last Name
Step Team Member 13.
First Name
Last Name
Step Team Member 14.
First Name
Last Name
Step Team Member 15.
First Name
Last Name
Submit
Should be Empty: