Extravaganza Bonanza Registration

Thank you for your interest in attending the Sarah Heinz House Keystone Club Extravaganza Bonanza! Please fill out this registration form to secure your spot!

Keystone Club Extravaganza Bonanza
Saturday, May 20, 2022
6:00-9:00pm
Sarah Heinz House
1 Heinz Street
Pittsburgh, PA 15212

A Teen Outreach Event Organized by SHH Keystone Teen Leadership Club

For more information, please visit sarahheinzhouse.org or contact Keystone Club Advisors Nick Gindele (gindele@sarahheinzhouse.com) or Hannah Komita (komita@sarahheinzhouse.com) at 412-231-2377.

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* 1. Participant's Name

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* 2. School

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* 3. Grade

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* 4. Are you a current Sarah Heinz House Member?

Yes

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* 5. Parent/Guardian Contact Info:

First Name

Last Name

Relationship to Participant

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Phone Number