2022 Full Diet CSA Signup
Please use the form below to provide us with your membership information. We have limited spots available and will follow up with you promptly to confirm your membership. Thank you!
Sign in to Google to save your progress. Learn more
Email *
Names of All Household Members *
Best Phone Number Contact(s) *
Address for Delivery *
Please include Zip Code. Can be home or work.
Which CSA Seasons are you interested in? *
Please check all that apply. If we have space to add you immediately, we will try to do so! Otherwise, we will get you set up to start at the next season's start date.
Membership Size - Adults *
Membership Size - Kids *
Number of Kids 4 and Older
Number of Kids 3 and Under *
They are free! But we still want to know about them :)
Are you interested in raw dairy? *
If so, we will follow up with you about joining the Boxcar Acres Herd Share, which is required to access raw milk in KY.
Are you interested in low-temp pasteurized dairy? *
If so, we will follow up with you about joining the Boxcar Acres Herd Share.
Payment Options *
Delivery Options
Clear selection
Hub Pickup Location
If you would like to pickup at a hub location and not pay a delivery fee, please select from one of the following options:
Veggies Only?
If you aren't interested in ordering meat, we offer a discount for vegetarian membership! This includes everything else offered in the CSA.
Clear selection
We have limited availability for this CSA, so we will follow up with you to confirm your membership. Please check each statement below to acknowledge that you agree. *
I agree that my participation entitles me to a share in the bounty of the farms, which also means a share in the risk, as on occasion crops may fail due to circumstances outside of the farmers control (i.e. extreme weather, pests, etc.). I recognize my order may not always be able to be executed fully and I will be patient and understanding in accepting rare substitutions or absences.
I recognize I am joining this CSA for a full season and hereby commit to participating for the entirety of the twenty week period. Furthermore, I understand that my payments go directly towards paying the participating farmers for the produce delivered to me; to maintain the smooth functioning of this CSA program I will submit my payments on time.
I understand that the dairy is unpasteurized and if I want to order any, I agree to join the Boxcar Acres Herd Share Program and pay a one-time $30 Herd Share fee.
Row 4
Row 5
Any other thoughts or comments?
Were you referred to by someone? If so, let us know so that we can thank them!
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy