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 and submit this form. If you have any questions, please call Director Christopher Covington313-574-7852
Coach's Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Media Release Disclosure: By continuing this form, you grant SAVETHEM permission to use photos, videos, and other media featuring your team for promotional and educational purposes. This includes use on the SAVETHEM website (www.savethemdetroit.org), official social media accounts, and related marketing materials. Your team’s images will not be sold, altered, or used in any malicious or misleading manner.
*
Yes
No
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
Save
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