Youth Gardening Program Interest Form
This is NOT the application and DOES NOT secure a spot in the program. Once this completed Interest Form is received, you will be contacted with more information and the actual application.
Date *
MM
/
DD
/
YYYY
Parent/Guardian Name *
Your answer
Student Name *
Your answer
Student's Age *
Your answer
Full Address (please include city/zip) *
Your answer
Best Contact Phone # *
Your answer
Parent/Guardian Email Address (if no email is given, you will need to pick up the application at LYG) *
Your answer
Loveland Youth Gardeners * 907 S. Lincoln Ave. * Loveland, CO 80537 * 970-669-7182 * www.LovelandYouthGardeners.org
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