Planet Savers Registration FormWelcome to the Louisville Zoo’s Planet Savers program, presented by Ford Motor Company! By completing the form below, you will be automatically accepted into the Planet Savers program. Welcome kits including materials to support you / your group's journey to help our planet will be mailed within 3 weeks of registering. Please complete this form with accurate phone, email and address information to ensure you receive your kit and additional communications with tips and suggestions on ways to take action for our earth! Tell us about yourself! Planet Savers can be made up of any individual or group as long as you want to help our planet and can happen anywhere. This could be a school, church, social club, retirement community, group of friends, and more!Individual / Organization name(Required)Individual / Type of organization(Required)IndividualSchoolAfter school ore extracurricular programReligious organizationSocial clubHomeschool groupLibraryBusinessGroup of friendsOtherOther type of orginizationPlease tell us what kind of organization your Planet Savers club is a part of or representing.Individual / Organization ZIP code(Required)Number of Planet Savers registering(Required)What conservation challenges are most interesting to you / your Planet Savers group? (First Choice)(Required) Climate Change Animal Conservation Habitat loss / degradation Renewable energy Greenhouse gasses Biodiversity Water quality / usage Litter / Pollution Pollinators Air quality Land Use OtherWhat conservation challenges are most interesting to you / your Planet Savers group? (Secondary topic) Climate Change Animal Conservation Habitat loss / degradation Renewable energy Greenhouse gasses Biodiversity Water quality / usage Litter / Pollution Pollinators Air quality Land Use OtherWhat project type is most interesting to you / your Planet Savers group?(Required) Recycling Community based Educational / informative Changing personal behaviors (biking, using less electricity, etc.) Letter writing / campainging Litter cleanup / waste reduction Gardening / composting Fundraising OtherContact informationPlease provide contact information for an adult (18+) who will serve as the primary point of contact for a club, group, organization or minor child.Adult first nameAdult last nameAdult or Organization Email(Required)(We will only use this to communicate with you regarding Planet Savers.) Adult or Organization Phone number(Required)(We will only use this to communicate with you regarding Planet Savers.)Adult or Organization Street Address(Required)Adult or Organization City Name(Required)Adult or Organization State(Required)Adult or Organization ZIP Code(Required)What is the age group of the children/adults within your immediate household family that will be visiting the Zoo? (check all that apply) 0 – 7 8 – 12 13 – 19 20 – 50 50+NameThis field is for validation purposes and should be left unchanged. Planet Savers is presented by
