Registration workshops and activities - Jane Goodall Institute Belgium

Please note this form is intended to be used only by the project leader of a group, school, institution which engages in Roots & Shoots. Moreover the group, school, institution needs to be located in Belgium.

First name*
Last name*
Email address*
Adult / student
Language
Age
Institution
Name of institution
Town
Hidden
Country
Interested in
- invitation to the annual Roots & Shoots ceremony
- monthly e-news on activities/campaigns
- info on our Roots & Shoots exchange programme
- your project(s) posted on our website/e-news/facebook
- our educational material
Phone
This field is for validation purposes and should be left unchanged.

Photo credit: Amy Choin, JGIB