PYSC Membership Application
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Please list ALL of the zip codes programming is provided in.

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Please list the sports and/or activities  your organization provides to youth: 

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Please list the number of youth served and the age ranges or grades served. (If does not apply to your organization: N/A)

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Please provide your first and last name. 

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Please give the best email to be reached at.

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Please provide a short description of your role within this organization. 

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Please provide your organization website and social media handles (Twitter, Facebook, Instagram, Tik Tok, LinkedIn)

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Please provide the first and last name of the following:

  1. Executive Director/CEO
  2. Email of Executive Director/CEO
  3. Phone Number of Executive Director/CEO

 

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In this section, please provide a secondary contact of this organization. 

 

  1. Name of Secondary Contact / Program Manager or Director 
  2. Role in Organization of Secondary Contact 
  3. Email of Secondary Contact 
  4. Phone Number  of Secondary Contact 
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  1. How many full-time employees are currently on staff?
  2. How many part-time employees are currently on staff?
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1. Board Chair Name

2. Board Chair Email

3. Total Board Size

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Please send a copy of your Form 990, EIN number, or a recently audited financial statement to edesabato@pysc.org.

If you have any questions about the reports and insurance below, please reach out and we would be happy to discuss best practices.

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Include a submember in your membership registration

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1501 Cherry Street
Philadelphia, PA 19102
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