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Virtual PAL Program Sign-Up

Complete the form below to sign up for Virtual PAL programming

[contact-form to=”dharris@phillypal.org” subject=”Virtual PAL Registration”][contact-field label=”Name” type=”name” required=”1″][contact-field label=”Email” type=”email” required=”1″][contact-field label=”Select the Programs You Want to Register For:” type=”checkbox-multiple” options=”Homework Help,Sports,Gaming,Main Activity #1,Main Activity #2,Main Activity #3″][/contact-form]

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