Green Ambassador Registration Please enable JavaScript in your browser to complete this form.Your Name *FirstLastDate of Birth *MM/DD/YYYYSchool Details *FirstLastParent/Guardian's Name *FirstLastParent/Guardian's Mobile number *Parent/Guardian's Other numberParent/Guardian's Email *Is your parent/guardian on social media? *FacebookTwitterInstagramTiktokLinkedInN/A - Not on social mediaPlease select from the options listedHow many Brothers or Sisters under 14 years do you have? *FirstLastWhich schools do they go to? *If the siblings are in different schools, list the schools separating them with a comma.Becoming A Green AmbassadorDo you promise to Protect the Environment always? *YesNoDo you promise to plant atleast 2 trees every year? *YesNoWill you help to Protect the Environment in your school and at home? *YesNoWill you Parents/Guardians help you to protect your environment and plant trees? *YesNoWould you like a Special Free ticket to attend the Green festival on Sunday 3rd September at Kololo Airstrip? *YesNoThe Dress Code is GREEN. Will you wear something Green? *YesNoDo you consent for your Green photos/videos to appear in our Environmental Campaigns/Magazines/TV Press/Media etc? *YesNoGREEN PROMISE *I AgreeI DO SOLEMNLY PROMISE THAT AS A GREEN AMBASSADOR, I WILL DO MY BEST TO PROTECT MY ENVIRONMENT AND KEEP IT GREEN, CLEAN AND SAFE. SO HELP ME GOD.PARENTAL CONSENT *I agree and give my permissionI CONSENT TO MY SON/DAUGHTER BECOMING A GREEN AMBASSADOR AT HIS/HER SCHOOL.Submit Phone+256 756 249000 Emailgreen@littlehandsgogreen.org Socials Twitter Facebook Youtube
