Get Involved

Register for The Detroit Partnership

First Name:

Last Name:

Address:

City:
State:	Zip:

Phone:
( ) -

Email:

School:

Gender:
Male Female

Year:

Shirt Size:
S M L XL

Major:

Student Organization:

Vegetarian?
No meat for me
I'm a carnivore

Could you drive to a project in Detroit?
Yes
No

How did you hear about The Detroit Partnership?
(please check all that apply)
E-mail
Festifall/Winterfest
Circle K
Diag Boards/Banners
Residence Hall
Web Page
Flyers/Chalking
Other Student Organization:

A friend:

Emergency Contact:
Name:

Relationship:

Address:

Home Phone:

Work Phone:

Medical problems, physical disabilities or limitations, allergies:
(please list and fully explain all)

Do you have any special skills?

Sponsors: