Member Garden Registration Form

Garden Information

Garden Name*

Garden Address*

Street Address Address Line 2 City State ZIP Code

Garden Type*

Garden Type: Other*

Garden Description (to appear on the Syracuse Grows website)*

Garden Leader Name*

First Last

Garden Leader Address*

Street Address Address Line 2 City State ZIP Code

Garden Leader Email*

Garden Leader Phone Number*

List this contact information on Syracuse Grows website?

Information to list:*

Register a secondary contact?

Secondary Contact Name*

First Last

Secondary Contact Address*

Street Address Address Line 2 City State ZIP Code

Secondary Contact Email*

Secondary Contact Phone*

List this contact information on Syracuse Grows website?*

Information to list:*

Garden Goals for this year and subsequent years.*

Provide a summary of the garden's typical annual schedule (e.g. regular workdays/hours, annual events, etc.)*

Approximate amount of land cultivated (e.g. 30 X 30 feet) and/or number and size of raised beds*

Approximate number of people involved with the garden*

What do you grow?*

Signature*

Name of Garden Representative*

Date

Email

This field is for validation purposes and should be left unchanged.