GHF Farm-to-Community request form

Farm-to-Community request form

Our farm can come to you! Please fill out this interest form and a representative from Gorman Heritage Farm will contact you as soon as possible.
Full Name*

First NameLast Name
Job title (if applicable)
Contact Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Please select the type of organization for which you are requesting programming*
School Name*
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization Name*
Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Troop
Co-Op Name (if applicable)
Company Name
Please tell us more about the group for which you are requesting programming.*
Address where program will take place*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Library Branch*
Branch Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grades of participants*

PreschoolKindergarten1st2nd3rd4th5th6th7th8th9th-12th
Number of classes for which you're requesting programming:*
Total number of participating students *
Our programs are designed for up to 30 students at a time. For large groups, we split into multiple program sessions which can occur back to back on the same day.
Gorman Heritage Farm has a two adult policy. We require that at least one other adult remain in the room, or within eyesight/earshot outdoors at all times during the program.
I understand that at least one adult must be present during the program.*

Yes
Ages of participants*

3-66-99-1212-17Adults 18-59Adults 60+
Total number of participants*
Our programs are designed for up to 30 participants at a time. For large groups, we split into multiple program sessions which can occur back to back on the same day.
Tell us more about when you would you like your program to take place. For example, time of year, what days and times of day work well for you, any specific dates you are hoping for, etc. *
Which of the following programs or experiences (see program descriptions and costs at gormanfarm.org/farm-to-community) would you like to request?
Programs*

A Chicken is a BirdThe Chicken AND the EggBusy, Busy BeesA Rabbit is a MammalRabbit FamiliesFor the Love of GoatsDig Into the World of WormsTower Garden RentalFarm Friends Mobile Experience
Are you interested in adding on a vermicompost bin for $150?*

YesNo
Other/custom program details:
If you know where the program will take place, please briefly describe the space (outdoors on grass, classroom, gymnasium, etc.)*
May we take photos of your program participants? (If yes, we will send photo release forms to be signed by participants or their legal guardians)

YesNo
Are you interested in scholarship opportunities for your program?

YesNo
Please be sure to fill out our scholarship application linked on the Farm to Community page on gormanfarm.org
Please let us know if you have any questions or additional details that would help us in setting up the best program to meet your needs!
I understand that completing this interest form does not guarantee a specific date or time. A representative from Gorman Heritage Farm will contact me to finalize my program.*

Yes
Should be Empty:

Farm-to-Community request form

Which of the following programs or experiences (see program descriptions and costs at gormanfarm.org/farm-to-community) would you like to request?