L.E.A.P. E-Sports Registration
This program is specifically for students ages 9-12 and 13-18
The Lighthouse will provide all the necessary resources.
All participants must wear a mask.
LIMITED SPACE AVAILABLE
141 W. Somerset street, Philadelphia, PA 19133
Contact us at (215) 425-7800 or email our Manager of Sports & Recreation at
, if you have any questions or concerns.
Rest assured that all of the information shared on this registration form is considered confidential.
Parent/ Guardian Name
Participant ZIP code of Residence
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