New and Returning Community Gardener Registration 2023
This form is for all gardeners, whether it is your first year or you've been with us for many years. We ask that all gardeners register yearly.

Gather New Haven supports community gardens across New Haven. In order to plan our work, communicate effectively, and raise funds, we need accurate data on how many gardeners are engaged in our sites.  This data is kept strictly confidential and only released in aggregate form.  

Please fill out this registration completely. NOTE: Demographic and income information will be held strictly confidential and will only be reported in aggregate form in order to qualify for pubic and foundation grants.  

We also ask for a voluntary registration fee to help support our work with gardeners. Please select the fee in the survey that applies to you and go here to make your payment to Gather New Haven: https://gathernewhaven.org/donate .

Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Email *
Home Address (street number, street) *
Home Town *
Phone Number *
Community Garden Name *
How many years have you gardened in a Community Garden?
Number of people in your household
Age of primary gardener *
Race
Latino Ethnicity
Annual Household Income  (only reported in aggregate for City CDBG Grant purposes)
Do you receive food assistance (SNAP, WIC, SFMNP for elderly)?
Please use this link to donate: https://gathernewhaven.org/donate
Registration is on a sliding scale. Please donate what you can to support our community gardens. You will not be redirected upon choosing an option, you will need to go to the link above.
Clear selection
Thank you for taking the time to register!
Gather New Haven: Neighbors and Nature Thriving Together
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Gather New Haven.

Does this form look suspicious? Report