Sports and Mentoring Student Community Registration Form
Sports and Mentoring Student Community (SAMS Community) is focused on preparing adolescence for high school, college, and life by offering academic support, enrichment opportunities, and health/fitness activities. SAMS Community accomplishes this through its diversified 4 Core Program.

SAMS Community primarily serves students in the Northwest section of Philadelphia. Located on the 38 acer New Covenant Campus in Mt. Airy, SAMS Community offers a unique environment for all participants.

We believe that exposing youth to our 4 Core programming, will help them to recognize their specific interests; and through mentoring, internships, job placement and assignments, we seek to give them opportunities and experience to give them a jump start on cultivating the skills needed for success.

Email address *
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Zip Code *
Your answer
Student's Name *
Your answer
Age of Student *
Your answer
Grade enrolled during the 2017-2018 School year. *
Your answer
Name of school Student attends *
Your answer
Is this your child's first year participating in SAMS Community? *
Why are you interested in having your child participate in SAMS Community *
Your answer
Have you received a reviewed a copy of the 2018 SAMS Community Parent Student Handbook? *
A copy of your responses will be emailed to the address you provided.
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