"Feeding Our Neighbors" Event Registration
The Springfield Community Gardens (SCG) Grow to Ride 4-H Club brings together youth from areas of low socioeconomic status to develop personal responsibility through horsemanship, learn the importance of food sustainability, and provide service to their communities. 

Join us on Wednesday, August 9th from 11 - 1 PM as we assist with sorting donated produce to prepare for a community food distribution at Weller Community Church. This field trip is made available to enrolled members of SCG's Grow to Ride 4-H Club only. If your child(ren) are not already enrolled at the time of this application, you may still fill out this form and enroll prior to the event

Please complete this form once for each child applicant no later than Wednesday, August 2nd.
Questions? Reach out to Anna Withers at anna.withers@springfieldcommunitygardens.org
Email *
Parent/Guardian First and Last Name *
Child's First and Last Name *
Parent/Guardian email address and phone number
*
Emergency contact (name, email, phone number) if different than the parent/guardian listed above
Is the child already enrolled in Greene County 4-H? All children attending the landfill tour MUST be enrolled in Greene County 4-H prior to the event. If you are not yet enrolled, a member of SCG's staff would be happy to assist you and it will not affect this application.
*
Does the child have any allergies or dietary restrictions that staff should be made aware?
*
Does the child have any other health-related conditions or additional accommodations that staff should be aware?
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Springfield Community Gardens.

Does this form look suspicious? Report