Please print out this document, fill it in, sign it and send it to us.
Name________________________________________
Age_______________________ Nationality____________________
I am interested in living and helping on a _____________________
farm (tick as many as interest you)
� Sheep � Pig � Horse � Cows/Milk
� Goat
� Forestry � Vineyard � Deer �
Flower � Cows/Beef
� Organic � Orchard � Market Garden
I would like to visit area (choose 3)
1. _______________ 2. ________________ 3.________________
(Look at the map on the back and choose an area from 1 to 18)
Date of Planned Visit ____________________________________
Length of Planned Visit (2 weeks maximum) _________________
Do you have any farm experience or skills? (for example as a labourer, cook, cleaner, painter, handyman, with plants, with animals, with heavy machinery or equipment)________________________________
______________________________________________________
I understand that I must help on the farm for 4-6 hours every day in exchange for room and board. I may be required to help outdoors in any weather or perform challenging physical tasks. I may also be asked to do household chores. I realise that accommodation is often in farm outbuildings such as caravans, barns or sheds. I understand that the farmer reserves the right to ask me to leave the farm if I cannot perform as required. I must show my membership book when I arrive at the farm and if I book another farm. I must follow the rules of the farm when I am there. I should use English.
Signed _____________________________
