School Fodder Garden Registration Dear Teacher, thank you for your interest in this program. This registration form will provide essential information for Zoo Horticultural staff prior to the site visit. If you are unsure of any details please leave the space blank and this can be addressed at the site visit or by phone or email. Once this form has been submitted, a Zoo staff member will contact you as soon as possible. School Details Name of coordinating teacher: _________________________________ Contact number: ________________ Email address: _______________________________________________________________________________ School Name: _____________________________________________________ Phone number: _____________ Number of students and Year level likely to be involved in School Fodder Program: _____________________ Site Details Please circle either ‘Yes’ or ‘No’ and provide further details if required to the following: Has this project been endorsed by your Principal? Yes No Is your garden already established? Yes No If ‘yes’ can you please list the plants established that would be suitable for harvest (please refer to the online fodder list): ________________________________________________________________________________________ Does your site/garden have reticulation over summer? Yes No Is there vehicle access for loading harvested fodder? Yes No Has there been any application of pesticides or herbicides? Yes No Do you have support from School Grounds staff/Gardeners? Yes No Further Questions If you have any questions regarding the fodder program or information specific to your school environment, please provide details below. ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ _______________________________________________________________________________ Please email to email@example.com or fax to Zoo Education on (08) 9474 4113.