2022 Full Diet CSA Signup

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please use the form below to provide us with your membership information. We have limited spots available and will follow up with you promptly to confirm your membership. Thank you!

Email *

Names of All Household Members *

Best Phone Number Contact(s) *

Address for Delivery *

Please include Zip Code. Can be home or work.

Which CSA Seasons are you interested in? *

Please check all that apply. If we have space to add you immediately, we will try to do so! Otherwise, we will get you set up to start at the next season's start date.

Spring/Summer 2022 (May - October 2022)

Fall/Winter 2022 (October 2022 - March 2023)

Required

Membership Size - Adults *

Membership Size - Kids *

Number of Kids 4 and Older

Number of Kids 3 and Under *

They are free! But we still want to know about them :)

Are you interested in raw dairy? *

If so, we will follow up with you about joining the Boxcar Acres Herd Share, which is required to access raw milk in KY.

Yes

Are you interested in low-temp pasteurized dairy? *

If so, we will follow up with you about joining the Boxcar Acres Herd Share.

Yes

Payment Options *

Prepay 4 weeks at a time (First payment due one week before first delivery)

Full payment for the season (We prefer this method because it means less accounting work for us!)

Delivery Options

On Farm Pickup (10% discount!) - Flexible, anytime after 4pm on Wednesdays

Hub Location Pickup (Select from location on the next question)

Home Delivery (additional fee - $15 per delivery) - Wednesday between 3 and 7pm

Clear selection

Hub Pickup Location

If you would like to pickup at a hub location and not pay a delivery fee, please select from one of the following options:

New Albany Farmers Market - Saturday 8-12

Crescent Hill (Reservoir Park neighborhood - address will be sent prior to first pickup) - Wednesday 4:30-7

Prospect (Covered Bridge Farms neighborhood - address will be sent prior to first pickup) - Wednesday 4:30-7

Our farm! Anytime after 4pm Wednesday - Sunday (contact us for more info about this!)

Downtown Louisville Location (specifics TBD) - Wednesdays 5:30 - 6:30pm

Would you like your business or home to be a hub pickup? We'll follow up to talk more about logistics!

Veggies Only?

If you aren't interested in ordering meat, we offer a discount for vegetarian membership! This includes everything else offered in the CSA.

Vegetarian (25% discount)

Clear selection

We have limited availability for this CSA, so we will follow up with you to confirm your membership. Please check each statement below to acknowledge that you agree. *

Yes

I agree that my participation entitles me to a share in the bounty of the farms, which also means a share in the risk, as on occasion crops may fail due to circumstances outside of the farmers control (i.e. extreme weather, pests, etc.). I recognize my order may not always be able to be executed fully and I will be patient and understanding in accepting rare substitutions or absences.

I recognize I am joining this CSA for a full season and hereby commit to participating for the entirety of the twenty week period. Furthermore, I understand that my payments go directly towards paying the participating farmers for the produce delivered to me; to maintain the smooth functioning of this CSA program I will submit my payments on time.

I understand that the dairy is unpasteurized and if I want to order any, I agree to join the Boxcar Acres Herd Share Program and pay a one-time $30 Herd Share fee.

Row 4

Row 5

Yes

I understand that the dairy is unpasteurized and if I want to order any, I agree to join the Boxcar Acres Herd Share Program and pay a one-time $30 Herd Share fee.

Row 4

Row 5

Any other thoughts or comments?

Were you referred to by someone? If so, let us know so that we can thank them!

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms