APPLICATION FOR TEMCOG WAITING LIST

TEMESCAL CREEK COMMUNITY ORGANIC GARDEN

Temescal Creek Community Organic Garden (TEMCOG) operates under the auspices of Emeryville Community Organic Gardens, a 501(c)(3) nonprofit incorporated in 1992. Membership is available on first-come, first-serve basis, to Emeryville and Oakland residents within the 94608 Zip Code. First priority will be given to those living in an area identified as a "disadvantaged community" as defined by California State Parks and those living East of San Pablo. There are 25 plots assigned to individuals. Everyone pays annual dues and has community responsibilities in addition to caring for one’s own plot. If you are interested in applying, please complete and submit this form along with the application fee.

DATE*

Date

FULL NAME(S)*

ADDRESS*

PHONE NUMBER*

EMAIL*

example@example.com

How long have you lived at your current address?*

Please write a brief statement telling why you would like to join the garden:*

PLEASE RETURN THIS APPLICATION AND REMIT THE $15.00 APPLICATION FEE. APPLICATIONS WILL BE CONSIDERED COMPLETE ONCE BOTH THE APPLICATION FORM AND FEE ARE SUBMITTED. THIS FEE IS NON-REFUNDABLE BUT WILL BE APPLIED TO YOUR FIRST YEAR'S DUES WHEN YOU GET A PLOT.

Please remit your $15.00 Application fee via PayPal here.

**If you would like to pay via Check, make payment out to Temescal Creek Community Organic Garden and email EmeryvilleTreasurer@gmail.com for the mailing address.**

QUESTIONS/INFO: temcog.emeryville@gmail.com

APPLICATION FOR WAITING LIST