Veg Student Alliance Registration Form

REGISTRATION FORM

VEG STUDENT ALLIANCE
Welcome to Veg Student Alliance!
1. Fill out this registration form so we can get to know you better.
2. Then, we'll email a permission form for your parent/guardian to complete.
3. Ask them to fill it out and send it back to us (an email or pic is good).
4. Once all the formal stuff is done, we'll send you the Zoom link for our next meeting.
If you or your parents have any questions, just shoot us an email.

Looking forward to meeting you!

The VSA Team
ALL ABOUT YOU
Your Name *

First Name Last Name
Grade Level *
open to 7th through 12th graders
Date of Birth *

Month Day Year
Date
Country of Residence *

Canada United States
Phone Number *
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
School Name *
Membership Questions

To be completed by student applicant. The information you provide will help us tailor the program to specifically meet your needs.
Preferred Pronouns *

she/her/hers he/him/his they/them/theirs
How would you describe your diet? (Everyone is welcome to join VSA! We are a welcoming and supportive group.) *

Omnivore Vegetarian Vegan Plant-based
Why did you decide to join VSA? *
What do you hope to gain from joining VSA? *
What is your experience with cooking? *

I have never cooked. I can make simple recipes. I am a confident and experienced cook.
Best Way to Reach You *

text email Instagram
We use Instagram's group chat to stay in touch between meetings. What is your Instagram handle? (It's okay if you don't have one. We use email, too.) *
How did you hear about VSA? *

family member Instagram teacher friend internet search
Participant Agreement

I agree to follow VSA's Core Values of compassion, allyship, sustainability, pragmatism, and supporting a plant-forward future. Read more about our Core Values on our website: www.vegstudentalliance.org.
Participant/Student Signature *

Clear
Parent/Guardian Details
Parent/Guardian Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *
Email *
example@example.com
Parental Agreement

I am the parent or legal guardian of student applicant named above. I give permission for my child to register for Veg Student Alliance Youth Program. I understand that once my child is registered, I must complete an additional permission form before my child will be permitted to participate in the program.
Parent Signature *

Clear
Please verify that you are human *
Should be Empty:

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REGISTRATION FORM

ALL ABOUT YOU

Membership Questions

Participant Agreement

Parent/Guardian Details

Parental Agreement