#EveryoneGetsAGarden Signup

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Name *

Phone Number *

Email *

Address *

How do you prefer to be contacted

Phone

Text

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Do you give to the Greater Newark Conservancy, its agents or employees, and to the photographer, your free and unlimited consent to use photographs taken? *

yes

Are you interested in receiving a garden kit? *

Yes

How much time are you able to commit to tend your garden and attend virtual information sessions? *

Less than one hour per week

1-3 hours per week

3 or more hours per week

Other:

A community garden space is a piece of land gardened by a group of people in a friendly and in during COVID-19, a socially distant environment. Would you be able to garden at home or would you prefer gardening in a community space? *

I can grow at my own home

I can grow at my own home but prefer using a community space

I would have to grow in a community space

All participants can receive a "farm share" bag of produce to supplement their home food growing. Which of the following options is most convenient to pick up/order your farm share? *

Thursdays 10am - 1pm at 368 13th Ave Newark, NJ (every other week)

Fridays 3:00 - 6:30pm at 32 Prince Street Newark, NJ

Thursdays 10am - 1pm at 920 Broad Street Newark, NJ (every other week)

Order Online via bit.ly/ourmarket (requires pick up, various locations)

None of these work for me

Required

Have you added yourself to our GroupMe chat? https://web.groupme.com/join_group/60762176/bD5doKXv *

Yes

Please sign and date this section ONLY if you DO NOT consent to your photo being taken.

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