Garden Petition - Bingham Creek Regional Park

First Name *

Last Name *

Street Address *

City *

State *

Postal Code *

Phone *

Email *

I am interested in being on the planning committee. *

Yes

No

Please check all that apply:

I am interested in being involved with:

Supporting in the construction phase of the community garden.

Registering for a community garden plot.

Volunteering with one-time, short-term projects

Organize community events in the garden.

Attend community events in the garden.

I do not see myself being involved with this project.

I support the development of a potential community garden in partnership with WCG and the Park Authority Board. *

Yes

No

Comments or Concerns

Date of Signature: