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 22, 2021
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. 

Question Title

* 1. Participant's Name

Question Title

* 2. School

Question Title

* 3. Grade

Question Title

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

Question Title

* 5. Parent/Guardian Contact Info:

Question Title

* 6. Please fill out the permission slip/waiver found on sarahheinzhouse.org and submit here.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File
0 of 6 answered
 

T