Parent Participation *
Gender *
Age *
Grade *
Shirt/Jersey Size *

Required for Potential Funding

Ethnicity *
Do You Qualify for Free Lunch? *

Parent/Legal Guardian Information

How Did You Hear About MVP360? *

Additional Parent/Legal Guardian Information

Consent and Waiver

Dates/Times (Subject to change) *
Multimedia Release/Consent *
Waiver *

LOCATION: 101 E. Erie Ave, Philadelphia PA 19134

REFUND POLICY: Refunds are issued only if requested 5 days before the registration deadline. No refunds will be issued for missed games due to weather or any issues out of our control. *
Felix L. Agosto (609) 970-6834
President/CEO, MVP360 Community Programs