Humane Youth Award – Event Registration

Name*
First Last
Email*
Enter Email Confirm Email
Phone
Who nominated you for the award?*
Why did they nominate you?*
Parent or Guardian Name*
First Last
Parent or Guardian Email*
Enter Email Confirm Email
Parent or Guardian Phone Number*
Parent/Guardian Approval/Recognition*
- Agree
Please have your parent/guardian review this section. I understand that my child is registering for the Humane Youth Event through the Detroit Zoological Society (DZS). Through this registration, the DZS may contact my youth regarding the event. By submitting this form, I certify that the information in this application is correct to the best of my knowledge.