ccFRMz: Hen-A-Home Request Form

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cyberchix.Farmz: Hen-A-Home

Looking to grow your animal husbandry skills and strengthen the growing food network in the city? Adopt a hen from your stylish land stewards as we build our collectivist ecosystems in the city!
Name (preferred or chosen*)
*chosen names are names you'd like to be known by
Email
What part of the city do you live?
Neighborhood (due to the economic burden on our marginalized communities, we will be prioritizing families that can raise these hens for eggs)
the farm we volunteer is located on the West side, so we're prioritizing families on the West side
What type of care do you intend for you and your adopted hens?

Other
if selecting other, please write your answer:
Are you able to provide the necessary care chicken(s) need where you live?
if you can adopt a hen, select which forms of care you can provide to your fluffy flock; if you cannot, select 'None'
We are a grassroots team of queer survivalists strengthening Chicago's food systems in communities facing insecurity by providing educational and nutritional resources to families. Let us know what type of support you may need, if at all:
phone contact, only if able to adopt
Please enter a valid phone number to coordinate timely pick up. Coordinations may take up to 1 week if methods are obstructedFormat: (000) 000-0000.
Thank you for filling out the form! Follow us on IG @cyberchix.FMz for more ways to be involved in survivalism! If you are able to adopt a hen, a member of our ccFRMz team will reach out to you within the week of your intake to coordinate pick up! Happy harvesting! ⋅°❀⋆.ೃ࿔*:･
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cyberchix.Farmz: Hen-A-Home