Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Eastie Farm Rain Barrel Signup
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Phone number
*
Your answer
Would you be interested in receiving a 60 gallon rain barrel on a donation based sliding scale starting at $30?
*
Yes
No
If yes, how many would you be interested in?
*
1
2
3+
Would you be interested in assistance installing the rain barrel(s)?
*
Yes
No
Maybe
Which describes your downspout?
*
My downspout goes into the ground
My downspout ends before the ground and goes onto a yard / sidewalk
Other:
Required
Which shape describes your downspout?
*
My downspout is rectangular
My downspout is round
Other:
Required
Would you be willing to offer the NOAH Youth access to your rain barrel to water the street trees?
*
Yes
No
Maybe, I'd like more details
Why are you interested in rain water collection?
Your answer
*East Boston Only* In which neighborhood do you live?
Jeffries Point
Gove Street
Maverick Central
Eagle Hill
Harbor View
Orient Heights
Clear selection
*Outside East Boston* Please write the neighborhood or city you live.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report