Polli-Promise Form

Sign up to the Pollinator Promise

Fill out the form below to sign up to the Pollinator Promise.

“I promise to help pollinating insects by setting aside a 1 x 1 metre area in my garden or schoolground.  Alternatively, I will plant a pot or window box with pollinator friendly flowers.”

[contact-form][contact-field label=”Name” type=”name” required=”1″ /][contact-field label=”Age” type=”select” options=”Under 13,13-16,17-18,19-24,Over 25″ required=”1″ /]
If you plan to plant a larger area, please provide the size of the patch below:

[contact-field label=”Size (m2)” type=”text” /][contact-field label=”School/Organisation (if applicable)” type=”text” /][contact-field label=”Location” type=”text” /]

[/contact-form]