Garden To Table Silicon Valley Waiver
You will only need to complete this form ONE time. The information collected below will solely be used for obtaining funding/ grants for Garden to Table SV from businesses and financial institutions to demonstrate social equity and responsibility ✍🏽🌱🧑🏽🌾
Name
*
First Name
Last Name
Email
*
Age
*
Please Select
12 or under
13-17
18-20
21-44
45-64
65 or above
Ethnicity
*
Please Select
Black/ African American
White
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Hispanic/ Latino
Asian
Samoan/ Pacific Islander
Other
Gender
*
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Female
Male
Non-Binary
Prefer Not to Say
Street Address
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City, State
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Zip Code
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How did you hear about the farm?
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From a friend, colleague, or family member
Instagram
Google
Website
Eventbrite
By signing below, I have read and agree to the terms of the waiver above (under 18 years old needs a parental signature).
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