2023 CSA Application- The Farm at Our House
Thanks for applying to be a member of our CSA! Our members are essential to the success of our farm. During the 2023 season we are offering three pick-up locations again.  However, unlike last year our Bethesda pick up location will take place on Thursdays. Spots are limited. Learn more about the farm at www.thefarmatourhouse.com or Facebook.

How to join our CSA?
Step 1. Complete this form. Don't forget to click SUBMIT.
Step 2. Pay with a check,  Zelle (thefarmatourhouse@gmail.com), PayPal (thefarmatourhouse@gmail.com),  Credit Card (http://www.thefarmatourhouse.com/store/c2/CSA )
*Payment with Credit Card and PayPal will include 3% additional fee. 
If you use PayPal you will need to tabulate a 3% surcharge on your own.
Step 3. Upon reception of payment you can expect a welcome email indicating that we have received payment.

All checks should be made out and mailed to:
The Farm at Our House
3 Duke Court
Rockville, MD 20850

After you join the CSA, you can expect to receive an E-newsletter by April.  If you do not receive one, please text us at 202-412-5698 or thefarmatourhouse@gmail.com

You're also welcome to pay in installments as long as at least 75% is paid prior to the start date of the CSA.   Please email Farmer Grossman with regard to payment plans.

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Email *
Last Name *
First Name *
Where and when do you prefer to pick up the share? *
Address, City, State
Zip Code
Phone # *
E-Mail #2
E-Mail #3
How will you be paying? *
For On-Farm CSA Pick-Up (19715 Zion Rd, Brookeville, MD 20833) Wednesdays, Jun. 7th - Nov. 15th, 4pm-6:30pm- times can vary based on sunlight.
FULL SHARES are appropriate for a family of 2-5, while HALF SHARES will feed a family of 1-3. Ranges depend on how much a family cooks and how many veggies they like to eat.
For Rockville CSA Pick-Up (3 Duke Court- College Gardens) Wednesdays, Jun. 7th - November 15th, 4:30pm-7:00pm.
FULL SHARES are appropriate for a family of 2-5, while HALF SHARES will feed a family of 1-3. Ranges depend on how much a family cooks and how many veggies they like to eat.
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For Bethesda CSA Pick-Up (Lone Oak neighborhood on Greenlawn Dr.) Thursdays (5:30pm-7:30pm), June 8th- November 16th
FULL SHARES are appropriate for a family of 2-5, while HALF SHARES will feed a family of 1-3. Ranges depend on how much a family cooks and how many veggies they like to eat.
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Farm fresh, pastured, certified organic raised eggs raised by our Silver Spring market neighbor Coulter Farms in PA. 
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Farm fresh, pastured, certified organic raised milk raised by our Silver Spring market neighbor Coulter Farms in PA..  Dairy products are distributed every other week on even weeks.   YOU CANNOT MAKE UP A WEEK as we must move dairy products within days of receiving them.  Dairy will be given away if not picked up.
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How did you hear about our 2023 CSA?
If you are returning member would you be willing to be a farm ambassador?  Being a farm ambassador involves promoting our CSA by speaking to friends and family about it and possibly posting information about the CSA on local listserves, NextDoor or simply writing a Yelp or Google review about the farm.  It is one of the most helpful things you can do for us other than joining the CSA. (Past Members Only)
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Name the Farm Ambassador who referred you to The Farm at Our House if applicable.
I agree that a share entitles me to the bounty of the harvest, which also means a share of the risk, as on occasion a crop may fail due to conditions that are beyond the control of your farmers. * *
On Farm Pick Up Wavier- On Farm Pick Up Members Only
OUR HOUSE, INC.
RELEASE OF LIABILITY AND HOLD HARMLESS AGREEMENT
 
Name:          (hereinafter referred to as “Releasor”)
   
 
In consideration of being permitted to enter the real property owned by Our House, Inc. (hereinafter referred to as “OH”), located at 19715 Zion Road, Brookeville, MD  20833, and as a visitor or volunteer to the program or the Farm at Our House ("Farm"), or to engage in hunting or fishing, or any other purpose, the undersigned hereby represents, warrants, covenants, acknowledges and agrees as follows:
 
Releasor and his or her successors, assigns, agents, trustees, heirs and personal representatives (collectively, the “Release Parties”), hereby forever release and discharge OH, and all of its affiliates, subsidiaries owners, directors, members, officers, employees, attorneys, predecessors, successors, assigns, agents, and representatives (each, a “OH Party” and collectively, the “OH Parties”), from any and all liabilities, claims, causes of action, suits, judgments, costs, expenses, attorneys’ fees, or other incidental or consequential damages of any kind, whether known or unknown (collectively, “Claims”), and covenant not to sue and to waive all Claims the Release Parties may ever have against the OH Parties, arising out of or relating to the Release Parties being in, on, or about the OH property, whether in his or her individual capacity or as a member of a group or organization, whether for Releasor, instructional or training purposes or otherwise, and whether caused by the negligence of the OH Parties or otherwise.  
 
Releasor assumes full responsibility for the risk of bodily injury, death or property damage arising out of or relating to the Release Parties being in, on or about the OH property, whether in his or her individual capacity or as a member of a group or organization, whether for Releasor, instructional or training purposes or otherwise, and whether caused by the negligence of the OH Parties or otherwise.  
 
Releasor forever fully defends, saves harmless and indemnifies the OH Parties from and against any and all Claims, which the OH Parties may sustain, suffer or incur, directly or indirectly, arising out of or relating to the Release Parties being in, on, or about the OH property, whether in his or her individual capacity or as a member of a group or organization, whether for instructional or training purposes or otherwise, and whether caused by the negligence of the OH Parties or otherwise.  In the event that any claim, suit or action is filed, made or commenced against any OH Party that is subject to this indemnity, Releasor shall forthwith, after written demand to do so, cause such claim, suit or action to be removed, terminated, satisfied, released or otherwise disposed of in form and manner satisfactory to such OH Party.  Upon failure of Releasor to so act, Releasor agrees that the OH Party may undertake any action, which the OH Party deem necessary to cause such claim, suit or action to be removed, terminated, satisfied, released or otherwise disposed of in form and manner satisfactory to the OH Party, and  
 
Releasor shall reimburse the OH Party for the full and total amounts of any costs and expenses, including reasonable attorneys' fees, incurred by it in connection with the same immediately upon demand.  Upon demand by the OH Party, Releasor shall diligently defend any such Claim, whether alone or together with the OH Party or any other person, all at Releasor’s own cost and expense and by counsel to be approved by the OH Party.  In the alternative, at any time the OH Party may elect to conduct its own defense through counsel selected by the OH Party and at the cost and expense of Releasor.  Releasor agrees that its liability hereunder will be joint and several, expressly agreeing that the OH Parties may pursue any right or remedy against Releasor without being required to pursue such right or remedy against the others.  
 
The provisions of this Release of Liability and Hold Harmless Agreement shall bind the Releasor and his or her heirs, personal representatives, successors and assigns.   The invalidity of any provision of this Release of Liability and Hold Harmless Agreement shall not invalidate the remaining portions of the Release of Liability and Hold Harmless Agreement.
 
The Farm at Our House (“Farm”) licenses land from OH, and some of the youth from OH work at the Farm.  However, other than as licensor and licensee, OH has no partnership, relationship, involvement or participation in or with the Farm or its business or affairs, and in no event shall OH have any liability whatsoever to any third parties relating to the Farm or its business, including any claims relating to the produce and products purchased or obtained from the Farm.
 
FARM PICK UP MEMBERS ONLY-  After reading the wavier above initial below to indicate that you will not hold Our House liable for farm related issues.
A copy of your responses will be emailed to the address you provided.
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