AgriKids Farm Safety Programmes Submission Form
Submission for Certification on AgriKids Farm Safety Hour or AgriKids Farm Safety Day Ambassador Programmes
Date
*
-
Month
-
Day
Year
Date
Programme Submission
*
AgriKids Farm Safety Hour
AgriKids Farm Safety Day - Field & Farmyard Safety
AgriKids Farm Safety Day - Tractor & Machinery Safety
AgriKids Farm Safety Day - Animal Safety & Wellbeing
Type of submission
*
Full School submission
Class only submission (please specify)
If class only, please specify class grade
*
Applicant Contact Name
*
First Name
Last Name
Email
*
Also required to send Farm Safety Hour Certificates
Phone Number
Please enter a valid phone number.
Name of School (That is to appear on the certificate)
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Upload your evidence of learning for submission
*
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Have a project idea? Please supply us with details on a project idea you may have that we can share in our Resources Area. Or you can email it to info@agrikids.ie Please include your full name and school details so we can credit you.
Resource Idea Upload
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If chosen as a winning school / Class. May pictures be shared in the media to promote the win?
Yes
No
We will supply an approved picture
Please provide any feedback you may have on the programme you have just participated in. This will assist us in our ongoing developments.
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