JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Zeta Youth Auxiliary (ZYA) - Information Form
Complete this form to let us know that you intend to sign your daughter up to join a ZYA Club.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Welcome to the 2022 - 2023 ZYA Year!
1. Child's Name (first, last and nick name if applicable):
*
Your answer
2. Child's School (September 2022 - June 2023):
*
Your answer
3. Child's Age Group/ZYA Club (as of September 1, 2022):
*
Pearlette (4 to 8 years old)
Amicette (9 -13 years old)
Archonette (14 - 18 years old)
Required
4. Cell/Telephone Number:
*
Your answer
5. Home Address:
*
Your answer
6. Parent/Guardian Name:
*
Your answer
7. Parent//Guardian relationship to youth:
*
Parent
Grandparent
Legal Guardian
Other:
Required
8. Due to regulations, we are not allowed to transport your youth, we will be generating a list with parent contact information so that you all are able to communicate with each other for carpooling. Please answer the following question:
I would like to be included on the parent contact list that will be shared with other parents
Please do not share my contact information with other parents
Clear selection
9. Childs' t-shirt size. Please note if the size is youth or adult.
XS
S
M
L
XL
XXL
Youth
Adult
Other:
Clear selection
10. How did you hear about ZYA?
*
I already have a ZYA member!
Zeta Phi Beta Sorority, Inc member
ZYA Club member
Instagram
Facebook
Other:
Send me a copy of my responses.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
