- WildHearts Group

Climate Awareness Assembly - Registration Form

School Name:(Required)

City:(Required)

Country:(Required)

Select which date(s) you would like to host your Climate Awareness Assembly(s)(Required)
Monday 1st November
Tuesday 2nd November
Wednesday 3rd November
Thursday 4th November
Friday 5th November
Select which Year Group(s) you would like to attend the Climate Awareness Assembly(s)(Required)
Yr.8/S1 (international equivalent: aged 12+ years old)
Yr.9/S2 (international equivalent: aged 13+ years old)
Yr.10/S3 (international equivalent: aged 14+ years old)
Yr.11/S4 (international equivalent: aged 15+ years old)
Yr.12/S5 (international equivalent: aged 16+ years old)
Yr.13/S6 (international equivalent: aged 17+ years old)
Estimate the number of students expected to benefit from the Climate Awareness Assembly(s)(Required)

Please provide the names of Senior Students selected to organise the Climate Awareness Assembly(s) (we can follow up at a later point if you don't have this information)

Contact Name:(Required)

Contact Email:(Required)

Contact Phone Number:(Required)