2020 Rocky River Public Library Seed Library Checkout Form

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Cleveland Seed Bank's Seed Library Checkout Form

Date *

YYYY

First Name *

Last Name *

Zip Code *

Email Address* If you do not have an email address please leave your phone number

Seed Checkout #1

Seed Checkout #2

Seed Checkout #3

Seed Checkout #4

Seed Checkout #5

Have you used the Cleveland Seed Bank Library before?

Yes

Unsure

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Have you attended a Cleveland Seed Bank event before?

Annual Winter Seed Swap

Educational Workshop

Volunteer Event

Other

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Have you saved seed before?

Yes

Clear selection

How did you hear about the Seed Library

Library

Facebook

Community Event

Website

Other:

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Age

0-18

19-35

36-55

55+

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Race

Indigenous American

Black

Hispanic

Asian/Pacific Islander

White

Other:

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Submit

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