2025 Ad Astra Farms Mutual Aid Beneficiary Request
Ad Astra Farms has launched a mutual aid program (waitlist) for 2025. Members of the program will be matched with free produce when it becomes available during the growing season, either through mutual aid donations, or through Ad Astra's First Fruits program. Please complete the application below to be added to the waitlist. We will not share your name or contact data with anyone, and demographic data will only be used for our tracking and reporting purposes. 
Email *
Full Name *
Phone Number *
Preferred Time of Day to Call
Clear selection
Household Size *
Please provide your Income Range. Your income will not necessarily exclude you from receiving aid. *
Do you receive SNAP/EBT benefits? Receiving SNAP/EBT will not necessarily exclude you from receiving aid. *
In 3-5 sentences please explain why you are applying for aid. *
Read the Mutual Aid Agreement here.

I have read, understand and agree to the mutual aid agreement.
*
If selected, I am interested in receiving a CSA share. A CSA share includes 5-7 produce items per distribution for a set number of weeks. I understand that if awarded a share, I will need to review and sign a CSA Agreement before the season begins. 
Clear selection
Is there anything else you would like us to know about you or your application?
By submitting my application,  I understand that I am requesting to join a mutual aid waitlist for free produce from Ad Astra Farms. Ad Astra Farms is a seasonal operation, and I understand that produce will only be distributed during the growing season. I understand that Ad Astra Farms will distribute produce based on availability and waitlist position. I understand and agree that if my application is approved, Ad Astra Farms is not under any legal obligation to provide me with free produce. *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report