Please note: The Yes, PLEASE! Program is fully booked for the current academic year ending June 2024. Complete the form below if you are interested in programming for summer or fall 2024. Thank you!

Yes, PLEASE! is Mazzoni Center's free, comprehensive, LGBTQIA-affirming sexual health and wellness education program. The information you include on this form will help our team to assess your needs and start off on the right track. We encourage you to submit requests for the current school year as soon as possible so that we can start the this year off strong!

Please complete this form in as much detail as possible. Reach out to youthprograms@mazzonicenter.org with any further questions.

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* 1. Your Contact Information

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* 2. Desired Grade Level(s)

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* 3. Please indicate sessions you are interested in. We recommend a minimum of 2 sessions for each group of students.
NOTE: ^ Denotes lessons available for 3rd-6th grade. 
NOTE: ! Denotes lessons approved by the School District of Philadelphia to be presented as part of Health & PE curriculum.

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* 4. Desired Month to Begin Programming:

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* 5. Desired Programming Days: (Select all that apply)

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* 6. Desired Programming Time: (Select all that apply)

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