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Sign Up to
Donate Life
Sign Up to
Donate Life
About Us
50 Year History
50 Stories for 50 Years
Meet Our Leadership Team
National Perspective
Charitable Giving
Newsroom
Careers
Grow with us
Our staff
Career opportunities
Social Media
Contact Us
About Donation
Donation Process
Placenta Donation
Living Organ Donation In Michigan
LGBTQ+ Donation
Donation Facts & FAQs
Who We Serve
Organ & Tissue Donors
How to Become a Donor
Organ Donor Registry
Donor Families
Grief Support
Writing to Transplant Recipients
Donor Remembrance Quilts
Share Your Story
Transplant Recipients
Waiting List / Process
Writing to Donor Families
Waiting to Live | Sherry Johnson’s Story
Share Your Story
Professionals
First Responders
Funeral Professionals
Hospice Partners
Volunteers
Resources
Donor Remembrance Quilts
Driver Education
Driver ed instructors
Driver ed students and parents
Educator Resources
Grief Support
LifeLINES
Connections
News/Blog
Videos
Charitable Giving
Champions Gala
Make a Contribution to Gift of Life Michigan
News
Get Involved
Make a Contribution to Gift of Life Michigan
National Donate Life Month
Events
Community Events
Continuing Education
Partner Events
Legislative Advocacy
Community & Workplace Partners
Faith Communities
Income Tax Preparers
Save Lives Michigan
Municipal Clerks
Volunteer
Volunteer Training
Youth Outreach
All of Us
Campus Challenge
HOSA Challenge
Multicultural Communities
Latino Outreach
African American Outreach
Arab American Outreach
Become a Donor
Register to Attend
Please complete the form below to register for Donate Life Night at the Zoo.
Name
(Required)
First
Last
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
(Required)
Number of guests in your party
(Required)
Please enter a number from
1
to
8
.
What is your connection to donation and transplantation?
(Required)
Select all that apply.
Donor family
Living donor
Transplant recipient
Transplant recipient family
Transplant candidate
Donation and transplantation professional
Advocate for the cause
Other
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Celebration of Life Trail
All sign requests must be submitted by June 26, 2024.
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Would you like to honor a loved one with a sign on the Celebration of Life Trail?
(Required)
All sign requests must be submitted by June 27, 2025.
Yes
No
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Have you previously submitted a request for a Celebration of Life Trail sign?
(Required)
All sign requests must be submitted by June 27, 2025.
Yes
No
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Honoree name
(Required)
Enter name exactly as you would like it to appear on the sign.
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Honoree donation affiliation
(Required)
Deceased donor
Living donor
Transplant recipient
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Type of transplant
(Required)
This field is hidden when viewing the form
Message to include on sign
(Required)
Message must be 15 words or less.
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Honoree photo
Upload a high resolution image of the honoree. Please note that if the file is not large enough, the picture may appear distorted on the sign.
Max. file size: 1,000 MB.
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Photo consent
I acknowledge that I am the owner of this photo and hereby grant permission to Gift of Life Michigan and its designees to print this photo for a Celebration of Life Trail sign which will be on public display at Donate Life Night at the Zoo.
I agree.
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You're all set!
If you had a Celebration of Life Trail sign created for a previous Donate Life Day at the Zoo event, we will have the sign on display this year. If you took your sign home after a previous event and would like it displayed this year, you will be responsible for bringing it to the event.
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Release of Liability and Photo Waiver
This field is hidden when viewing the form
Release of Liability and Photo Waiver
(Required)
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING AND/OR VOLUNTEERING IN DONATE LIFE NIGHT AT THE ZOO.
(a) I certify that there are no health related reasons or problems which preclude me from participation in this event. The John Ball Zoo and Gift of Life Michigan are not responsible for injury sustained on the premises.
(b) The John Ball Zoo and Gift of Life Michigan shall have no liability of any sort with respect to personal property brought onto the premises.
(c) I understand that at this event I may be photographed. I agree to allow my photo, video, or likeness to be used for any legitimate purpose by the event holders, sponsors, and organizers.
I have read the above information and agree to the release of liability and photo waiver.
Comments
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