Name: Dallas Philly Love Tour: Stop The Violence Youth Summit
Start: 2025-06-06T00:00:00-05:00
End: 2025-06-07T23:59:59-05:00
Location: Southern Hills Church of Christ

Full Name

First

Last

Age*

School or Organization:*

Parent/Guardian Name (if under 18):*

Parent/Guardian Contact Number:*

Participant Email Address:*

Phone Number:*

Emergency Contact (Name):*

Emergency Contact (Phone):*

Why do you want to attend the Dallas Philly Love Tour? (Optional)

Media & Participation Waiver

By registering, I (or my guardian) give permission for the Dallas Philly Love Tour organizers to photograph, film, or interview me during the event for promotional and educational use. I release all organizers, volunteers, and partners from liability for injuries or losses during the event.

Date*

Details

Venue