Community Garden Plot Renewal Form

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Please complete & submit this form if you intend to return for the year's growing season.
If the form and required fees are not submitted on or before your garden's Spring Clean Up event, the plot may be forfeited and given to the next position on the waitlist.

Name *

Street Address and Zip Code *

Phone Number *

Email Address *

Preferred communication method(s) *

Mail

Phone

Required

Community garden name *

Plot number *

Year that I joined this garden

Additional requests

I need an ADA accessible plot

I'm interested in being a volunteer garden coordinator

Income Eligibility Fee Discount: I am interested in receiving a reduction in the annual garden fee due to receiving one or more of the following forms of assistance: SNAP/EBT, TAFDC/EAEDC, MassHealth, Head Start, WIC, Fuel Assistance, SSI/SSDI, Unemployment, Veteran’s Benefits, or other not listed. *

Yes

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