Yes, PLEASE! is Mazzoni Center's free, comprehensive, LGBTQ-affirming sexual health and wellness program. The information you include on this form will help our team to assess your needs and start off on the right track. Please complete this form in as much detail as possible, and reach out to youthprograms@mazzonicenter.org with any further questions.

Please note that we have extremely limited availability for new programming during the 2022-2023 academic year. Availability is much more flexible in Summer and Fall 2023. Thank you for understanding!

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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.
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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