Parlons Élevage - devenir candidat

Application Form

Are you passionate about farming and want to share your experience with the general public? Join our reality TV show “Parlons élevage”!

Please complete the form below to submit your application.

Full name *

Enter your full name (2 to 100 characters).

Age *

Please enter a valid age between 15 and 100.

Gender *

Phone

Number in international format. Example: 225 xx xx xx xx xx.

E-mail

Enter a valid address if provided.

GDPR consent

I agree to be contacted regarding my application.

Location / Region *

Indicate your city or region of breeding.

Specify here *

To be completed only if “Other, please specify” is checked.

participation activité Âge

How many years have you been doing this job? *

Enter a number of years (0 or more).

Conditions of participation *

I certify that the information provided is accurate.
I authorize the use of my video for pre-selection and broadcast purposes as part of the program.
I have read and accept the terms and conditions of participation.

Please check all boxes to validate your application.