Spread the Harvest - Small Garden Group Application

Please fill out this application if there are 1-9 gardeners actively participating in your garden (for example, a home garden or a plot in a community garden). All information provided on this form will remain confidential and will never be given out or sold.
Please answer all required questions (marked with an *).

 

Contact Information

*  


 

Home Address

*  


   


*  


*  


* County:
(Select one of the available choices or enter a different value.)



 

(Maximum response 255 chars, approx. 5 rows of text)

*  


   


*  


*  


*
Question - Required - Preferred Contact Method


   


   


   


  How did you hear about Spread the Harvest?
(Select one of the available choices or enter a different value.)



 

Income Level

*  


*


 

Participating Gardener Information

*  


 

The demographic information below is required for all gardeners who are actively participating in your garden.

 

Gardener #1 (you):

*  


* Ethnicity/race:
(Select one of the available choices or enter a different value.)



* Gender:
(Select one of the available choices or enter a different value.)



 

Gardener #2:

   


  Ethnicity/race:
(Select one of the available choices or enter a different value.)



  Gender:
(Select one of the available choices or enter a different value.)



 

Gardener #3:

   


  Ethnicity/race:
(Select one of the available choices or enter a different value.)



  Gender:
(Select one of the available choices or enter a different value.)



 

Gardener #4:

   


  Ethnicity/race:
(Select one of the available choices or enter a different value.)



  Gender:
(Select one of the available choices or enter a different value.)



 

Gardener #5:

   


  Ethnicity/race:
(Select one of the available choices or enter a different value.)



  Gender:
(Select one of the available choices or enter a different value.)



 

Gardener #6:

   


  Ethnicity/race:
(Select one of the available choices or enter a different value.)



  Gender:
(Select one of the available choices or enter a different value.)



 

Gardener #7:

   


  Ethnicity/race:
(Select one of the available choices or enter a different value.)



  Gender:
(Select one of the available choices or enter a different value.)



 

Gardener #8:

   


  Ethnicity/race:
(Select one of the available choices or enter a different value.)



  Gender:
(Select one of the available choices or enter a different value.)



 

Gardener #9:

   


  Ethnicity/race:
(Select one of the available choices or enter a different value.)



  Gender:
(Select one of the available choices or enter a different value.)



   Please leave this field empty

     

Original text