"I Am Because We Are" Youth Participant Interest Form
I Am Because We Are (IABWA) is an anti-violence mentorship program that uses basketball to develop High School boys, ages 13-18, into the next generation of leaders. Deeply rooted in the African philosophy of "ubuntu" in which our sense of self is shaped by our relationships with others, we combine off-court, social-emotional, identity development curriculum with on-court skill building and gameplay. IABWA’s coach-mentors use restorative strategies to build a thriving community and provide safe spaces for youth—especially those who have been impacted by gun violence and the justice system. Participants benefit from support in mitigating these traumatic environmental circumstances and welcome the program's empowering redirection in their lives.

Register OPEN - WINTER/SPRING 2023 (Starting week of January 23rd)

Current site(s):
(A) James Wright Recreation Center 
      3320 Haverford Ave
      Philadelphia, PA 19104

(B) Phield House
      814 Spring Garden
      Philadelphia, PA 19123

Throughout the program, participants have the opportunity to receive various incentives including gift cards, apparel, field trips, etc, through good attendance, active participation & the completion of ongoing milestones.

If you would like to participate, please answer all questions in this and complete the form all the way through, making sure you press the "submit" button.

Once your submission is processed, staff will be in contact with you with more details.

For more information about programming visit: http://www.phillyyouthbasketball.org/
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Email *
Participant Name: *
Date of Birth: *
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YYYY
Gender: *
Phone Number: *
Home Address (address, city, state): *
Zip Code: *
Basketball Skill Level: *
No experience
High skill
How did you hear about us? *
***Parent/Guardian Contact Info***
Parent/Guardian Name: *
Home Address (if different from participant): *
Phone Number: *
Email Address: *
***More Info***
Once we receive your information, one of our team members will be reaching out to give further details.
A copy of your responses will be emailed to the address you provided.
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