OCPA 2024 Participant Form
Welcome to the OCPA 2024 season! 
Please fill out this form if you would like to be a Participant this year. We will follow up with more information. Look for an email in the first week of March with information about your farm crew, start dates, payment options, and paperwork to sign. If you have any questions, don’t hesitate to reach out to Laurie, OCPA Participant Liaison. kelmella@hotmail.com
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Have you read the OCPA 2024 Participant Information Packet? If not, please take a moment to read it before filling out this form. Shared knowledge of program expectations will help us all have a successful growing season. *
Required
First Name: *
Last Name: *
Email Address: *
Phone Number: *
Mailing Address (optional): 
Total number of people in my household:
(e.g. 2 adults + 1 child = total of 3 people in household) *
Names of other members in my household, if applicable:
Choosing a Farm:
Please indicate your top priorities for joining a farm crew.
 *
Required
Choosing a Farm:
Please indicate your FIRST choice farm.
 *
Choosing a Farm:
Please indicate your SECOND choice farm.
 *
Financial Contribution:
Each Participant makes a financial contribution to cover the hard costs of farming such as seeds and tools. The 2024 financial contribution is $350 per household.
 *
Time Contribution:
By signing up as a participant you are agreeing to contribute your time, energy, and enthusiasm to the garden. The 2024 labor contribution is 3 hours per week (12 hours per month) per household. If your availability changes, or you have vacation plans, please communicate with your Site Manager.
 *
Required
Health Information:
Please list any relevant health information (e.g. bee allergy) or physical limitations/disabilities (e.g. limited mobility for bending tasks), to help each farm crew to make all possible accommodations. This information will be kept confidential.
 *
Insurance Attestation:
The work we do on the farm carries inherent risks and your answer to this question helps our Land Hosts make decisions about farm insurance. This information will be kept confidential.
Income Attestation:

For grant applications and reporting, we need to know about the general demographics of OCPA members, including income level. This Income chart shows the annual income amount that is 200% of Federal Poverty Level for each household size.

If your annual income is below the amount listed for your household size, enter “yes” for the income attestation question on the Google form; if your income is above the amount listed, enter “no” on the form.

**This information will be kept confidential, and will be aggregated for grant reporting to protect everyone’s privacy.

My household’s income is below 200% of the Federal Poverty Level:
Clear selection
What are you excited about for the upcoming growing season? What are your goals and expectations? (optional)
Thank you, we look forward to growing with you this season!
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