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

Event(s) Address:
Indoor
141 W. Somerset street, Philadelphia, PA 19133

Contact us at (215) 425-7800 or email our Manager of Sports & Recreation at SPORTS@lighthouse1893.org, if you have any questions or concerns.

Rest assured that all of the information shared on this registration form is considered confidential.

Email address *
Lighthouse E-Sports
Parent/ Guardian Name *
Phone Number *
Participant Name *
Participant Age *
Participant Grade *
Participant ZIP code of Residence *
Physical Restrictions
Submit
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