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Zeta Youth Auxiliary (ZYA) - Information Form
Complete this form in addition to your application to let us know more about your youth.
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* Indicates required question
Email
*
Your email
Welcome to the 2026 - 2027 ZYA Year!
1. Child's Name (first, last and nick name if applicable):
*
Your answer
2. Child's School (September 2026 - June 2027):
*
Your answer
3. Child's Age Group/ZYA Club (as of September 1, 2026):
*
Pearlette (4 to 8 years old)
Amicette (9 -13 years old)
Archonette (14 - 18 years old)
Required
4. Will your youth have a graduation or promotion in 2027? (pre-school, 5th grade, 8th grade, HS)
Yes
No
5. Cell/Telephone Number:
*
Your answer
6. Home Address:
*
Your answer
7. Parent/Guardian Name:
*
Your answer
8. Parent//Guardian relationship to youth:
*
Parent
Grandparent
Legal Guardian
Other:
Required
9. 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
10. Childs' t-shirt size. Please note if the size is youth or adult.
XS
S
M
L
XL
XXL
Youth
Adult
11. 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.
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