The Crocus Project Registration Form
2022/2023
Teacher's Name
*
First Name
Last Name
School Address
*
Street Address
Street Address Line 2
Town
County
Eircode
Number of students (HEI recommends that one class or year group participates)
Number of Children
Class or Year Group
eg. 6th class
Contact Number
*
E-mail
example@example.com
Would you like the teacher information pack in English or Irish?
*
Please Select
English
Irish
How did you hear about The Crocus Project?
*
Please Select
Social Media
Website
Advertisements
Colleagues
Other (Please specify...)
Other
*
Would you like to receive updates from Holocaust Education Ireland?
Yes
No
Submit
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