Green Family Membership Form

Email*

(This will be the login email for the account.)

Password*

Confirm Password*

First Name*

Last Name*

Family Members

Separate family members with a comma (,).

Family Member Ages

Separate ages with a comma (,) and please put in same order as family members.

Address*

City*

Zip*

Phone*

Website/Optional Contact

Please tell us a little about your family*

Upload up to 3 photos

How Many Years has Your Family Lived in Tennessee?*

Answer the following questions (choose 5)

1. How do you feel about the environment?

2. What does TN need to be Sustainable?

3. How do you feel about lifestyle pollution?

4. What actions does your family take to protect the environment?

5. What lifestyle choices has your family made to reduce your household carbon footprint?

6. What are your family's favorite green products to buy?

7. What are your family's favorite local businesses to support?

8. The best Green event you've attended and why:

9. Your favorite green links are:

10. Your Green Consumer tip is:

11. Favorite Green role models are: