Member Application, due March 1, 2012

Garden Member Application

LaSalle Park Community Garden 1314 10 Street

Name: _________________________________________________________

Address: ________________________________________________________

Phone: _______________________ Email: ____________________________

What is the best way to contact you? _________________________________

Do you have a gardening partner? Please list contact information for partner: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________

Have you had a plot in a community garden elsewhere? When and where?
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If you are a new gardener, would you like an experienced gardener to help you? Yes No

If you are an experienced gardener, would you like to help a new gardener? Yes No

Your name, phone number, and email address will be shared with garden leaders. In addition, a contact list will be made available to garden members. If you do not wish to have your information made available other garden members, please check here. _____

By signing below, I agree that I have read and understand the Gardener Guidelines and plan to abide by all of the garden rules. I understand that neither the garden group nor owners of the land are responsible for my actions. I therefore agree to hold harmless the garden group and owners of the land for any liability, damage, loss, or claim that occurs in connection with the use of the garden by me or my guests.

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Signature Date

For Garden Leader Use Only: Plot Assignment:__________ Winter Garden Approval: Yes No
Date: __________ Processed by: ____________




For plot assignment, please explain to garden leaders what kind of plants you would like to grow and the shade requirements of your preferred plants:

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If you wish to apply for winter gardening permission, please explain the types of plants would like to grow and the shade requirements of your preferred plants. Application for winter gardening does not guarantee permission. Garden leaders will discuss your winter gardening application with you at your plot assignment.

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Please circle your preferred volunteer work for the garden. You may circle as many as you wish. We will try to accommodate you, but may not be able to do so. If you’re particularly interested or knowledgeable in an area, please let us know.

Leadership Maintenance Compost Communications Community Relations

Horticulture Specialist Supplies Registration Monitoring Organization

Other: ________________________________________

The plots in the garden measure 4’x4’, 2’x7’, 2’x10’ and 2’11’. Please indicate preferred size: ________ and preferred number of plots _______. Requests are not guaranteed, but garden leaders are committed to meeting the gardener’s needs as best as possible. Multiple plots may not be possible, dependent on participation.

Other information you’d like to communicate to us:
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For Garden Leader Use Only: Plot Assignment:__________ Winter Garden Approval: Yes No
Date: __________ Processed by: ____________