Hopi Tutskwa Permaculture Partnership CSA Sign-Up
Askwali/Kwakway for supporting the partnership between Hopi Tutskwa Permaculture Institute and Pinnacle Prevention to being you fresh produce grown by Blooming Reed Farms. The Partnership CSA Share will be a weekly distribution of fresh produce from October 29, 2023 - February 25, 2024. Each CSA Share will be distributed every SUNDAY.
**If we do receive more applicants than the 10 shares available, an email will be sent out to you by Friday, October 27, 2023 if you have been selected for a share.
Sign in to Google to save your progress. Learn more
Email *
Name *
Email *
Phone Number *
Home Number *
Address
What is your family size the share will be serving? *
If selected for a share, will you be able to commit to a weekly Sunday pick-up? *
Required
Where would you be picking up your share? *
Please note that this is a weekly share.
Required
We are committed to ensuring that our community has access to healthy and nutritious foods. Are you willing to make a donation to cover unmet costs? This would help to continue free programs like this for community members to enjoy.
How did you hear about the Weekly CSA Share Program? *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Hopi Tutskwa Permculture Institute. Report Abuse