Home Gardener Application
Building Home Garden Beds with the Southwest Philadelphia Community
(Priority will be given to neighbors living closest to Bartram’s Garden)
* Required
Name:
*
Your answer
Address:
*
Your answer
Phone Number:
*
Your answer
Email Address:
*
Your answer
What is the best way to contact you for updates?
*
Email
Phone
Text
No Contact
How many beds are you interested in?
Please write the amount for each size you are interested in.
Small Bed (3ftx5ft) - $25
Your answer
Large Bed (4ftx8ft) - $40
Your answer
Do you have permission to build a garden bed at your home or apartment?
*
Yes
Need to check
Would you like to pay for seeds and transplants with your Access/EBT card?
*
If yes, we can supply the soil and lumber at no additional cost
Yes
No
We can help provide plants and seeds to get you started. What are you interested in growing this season?
*
Your answer
Why would you like a garden bed at your home? Please write below or check off any boxes that apply.
Your answer
Spend more time outside
Cook more meals at home
Save money
Improve your wellness
Educate your children
Exercise
Grow food from your culture
Build relationships with neighbors
Be more self-reliant
For questions or more information please call (215) 729-5281 or email
farm@bartramsgarden.org
Submit
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
Forms
