Youth Application for READY 2 GROW

Youth Application for READY 2 GROW

Youth Application for READY 2 GROW
Full Name:*

First NameLast Name
D.O.B:*

MonthDayYear
Date
Home Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
City/State/ZIP:*
School:*
Grade:*

Contact Information
Youth Phone Number:
Please enter a valid phone number.
Youth Email:
example@example.com
Parent/Guardian Name:*

First NameLast Name
Parent/Guardian Phone Number:*
Please enter a valid phone number.
Parent/Guardian Email:*
example@example.com
Emergency Contact Full Name:*

First NameLast Name
Emergency Contact Phone Number:*
Please enter a valid phone number.
Emergency Contact Relationship:*

Program Interest
Why do you want to join the program?*
Describe any gardening or outdoor experience you have.

Availability & Commitment
Can you commit to being on-site 5 hours per week?*

YesNo
If no, explain:
Are you willing to participate in outdoor tasks?*

YesNo
Do you have reliable transportation?*

YesNo

Health & Safety
Allergies:*

YesNo
If yes, list:
Medical conditions or limitations:*

YesNo
If yes, describe:

Parent/Guardian Permission
I grant permission for my child to participate in the READY 2 GROW Gardening Program, which will take place from March 16, 2026, to August 15, 2026. I acknowledge that activities may involve supervised outdoor work, the use of organic gardening products, and the operation of gardening tools and equipment. Additionally, I authorize my child to sell produce at farmers’ markets or directly to individuals.
Parent/Guardian Signature:*

Clear
Participant's Signature:*

Clear
Date Signed:

MonthDayYear
Date
Should be Empty: