2016 Westminster Community Garden Registration
1. Gardener: ______________________________________________________________________________
Last Name First Name Middle Initial
2. Gardening Partner: _______________________________________________________________________
(if applicable) Last Name First Name Middle Initial
3. Gardener Address: _______________________________________________________________________
Number and Street Name Apt. # City/Town Zip Code
Gardener Partner Address: _______________________________________________________________________
Number and Street Name Apt. # City/Town Zip Code
4. Phone numbers: __________________ __________________ ________________________________
Gardener’s e-mail: _____________________________ Garden Partner’s e-mail: _________________________
5. Did you have a plot at this garden last year? Yes No
6 Please check here to show that you agree to do the following:
Keep my plot weeded and tended
Abide by decisions made collectively by the gardeners who participate in coordinating the garden
Follow garden rules and guidelines
Clear my plot at the end of the gardening season
7. Do you want a more experienced gardener to help you get sta
8. Photo permission: Westminster staff, volunteers and the news media sometimes take photos at the gardens. Please check
(If you do not want to be in published photos, please let any photographer you see at your garden know that.)
9. Phone and Email: All Westminster gardeners have to share their phone numbers with the City of Westminster. Please check
here if your phone number and email can be included
10. Personal responsibility: I agree to hold the City of Westminster, and lease holders of Westminster gardens, and their agents
and employees, harmless from any and all liability for bodily harm, damage, or loss of any kind or nature arising from, or in any
manner connected with, my participation in a Westminster
Signed: (Gardener responsible for plot) _______________________________________________________________________
Name Date
Return completed application form and signed rules contract to:
City of Westminster Recreation & Parks
11 Longwell Avenue
Westminster, Maryland 21157
410-751-5501 Phone 410-848-8310 Fax
click to sign
signature
click to edit
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