Crops & Canines Community Garden Online Registration Form

Crops & Canines Community Garden Online Registration Form

Please only fill out ONE registration page per family or plot. If you have more than one person gardening the plot, please list them in the "additional gardener" section.
Crops & Canines Community Gardens is managed by the City of Cabot and Cabot Animal Support Services. The gardens were made possible by a grant from AARP and funding contributed by the City of Cabot. It is located at 506 N. Grant Street next to The Peak Center of Cabot. There are 72 community garden plots available to rent on an annual basis, with 15 being designated strictly for The Peak Center members. There are no fees associated with the plot rental. It is an open community growing space that accepts and welcomes all regardless of nationality, race, age, sexual orientation, physical ability, or spiritual path.
NEW GARDENERS
Please fill out the form below. Depending on availability, plots will be assigned on a first-come, first-served basis. You will be informed if you have received a plot within 30 days of submission.

For questions, please contact Niki Taylor at ntaylor@cabotar.gov.
Which garden season are you applying for?*
Are you reserving a plot as an active member of The Peak Center? (Please remember that there are only 15 beds designated for The Peak Center active members, specifically).*

YesNo
Primary Gardener Name*

First NameLast Name
Primary Gardener Phone Number*
Please enter a valid phone number.
Can you receive text messages?*

YesNo
Primary Gardener Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Gardener Email Address*
example@example.com
Please list any additional gardeners who will be gardening your plot. Name, phone number, and email address for each gardener.
Please describe any medical conditions or serious allergies that we should be aware of. *
If you have a medical condition that requires that you use a hose, please upload a copy of a doctor's note or other medical documentation.
Crops & Canines Community Gardens is a no-hose garden. However, exceptions are made for those with documented medical needs.
Medical Documentation Upload

Cancelof
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
How many garden plots would you like? Plots range from 8' to 12' depending on location. The maximum amount of plots a gardener can have is 3, if space permits. Plots may not be adjacent to one another. New gardeners are asked to start with 1 plot the first year. If plots are waiting to be filled, gardeners may take on more on a year to year basis.*

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Volunteer Requirement
We ask all gardeners to join a “team” that contributes to the maintenance of the Garden or works to build a strong Garden community. Please sign up for one Volunteer Team for the season. Time commitment varies from team to team. We ask that all gardeners record their volunteer hours on our volunteer record in the Tool Shed. Volunteer teams will grow as our plots fill.

Tool Care Team
Responsible for keeping the tools clean and organized, and a current inventory of what we have in the tool shed. Time commitment: weekly

Pollinator Team
Responsible for planting, watering, and weeding the pollinator beds and keeping the bird baths clean and filled. Time commitment: weekly.

Gardener Assistance Team
Responsible for helping gardeners in need of assistance to weed or water their plots if they are on vacation or have a medical issue. Time commitment: as needed.

Path Maintenance Team
Responsible for making sure the pathways are clear and maintained throughout the year. Time commitment: monthly.
Please indicate what volunteer team are you interested in? (Please check all that apply) All gardeners are asked to join a volunteer "team" to complete 4 hours of volunteer community service to keep our gardens maintained and beautiful for years to come.*

Tool Care TeamPollinator TeamGardener Assistance TeamPath Maintenance Team
Are there any classes that you would like to see offered regarding gardening? Please list them below.
Demographic Information
Cabot Animal Support Services and the City of Cabot are committed to understanding the views, needs, and wants of different members of the community. We ask optional demographic questions to understand better the community we serve, to secure outside funding and grants, and to inform programs and workshops. This allows us to deliver better services and make decisions based on evidence about the local population. The data collected will not be stored in the individual's records, but rather will be used for qualitative review only. If you do not feel comfortable sharing the information below, please refrain from doing so. It will not impact your garden form.
Do you identify as:

MaleFemaleOther
Are you of Hispanic, Latino, or Latino origin?

YesNo
How would you describe yourself?

Native American or AlaskanAsianBlack or African AmericanNative Hawaiian or Pacific IslanderWhiteHispanic or LatinoOther
What is your age?

16-2021-3031-4041-5051-6061 or older
What is your household income?

Under $30,000$30,001-$50,000$50,001-$75,000$75,001-$100,000Over $100,000
Do you consider yourself to be a disabled person?

YesNo
Do you currently or have you served in the U.S. Armed Forces?

YesNo
Should be Empty: