Students4H2O membership application
Thank you for your interest in joining Students4H2O! Our mission is to create a sustainable community and planet by empowering kids and saving the Earth, one student at a time.

If you have any questions while filling out your application, please email Adriana Mancini at
Name *
School *
Grade *
Student phone number *
Student email address *
Parent name *
Parent phone number *
Parent email address *
Students: what is the best way for us to contact you? *
Parents: what is the best way for us to contact you? *
T-shirt size *
Why do you want to become a member of Students4H2O? *
On 25 September 2015, 193 countries adopted a set of 17 Sustainable Development Goals to end poverty, protect the planet, and ensure prosperity by 2030. Which Global Goals do you feel most passionate about? (CHECK ALL THAT APPLY) *
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Why are you passionate about the Global Goals you selected? *
Is there anything else you would like us to know about you?
Student electronic signature *
Parent electronic signature *
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