Request

If you are a family with a small, outdoor, sunlit space (any 4 foot by 4 foot surface) and interested in receiving a free garden, please fill out the form below. Recipients will be provided with 8 compost-filled mesh tubes, plants, seeds, watering can, recipe book, and instructional book. A small team of 3-4 people from Church of the Open Door will deliver & install the garden. That team will plant the plants and seeds, water the garden, and show you how you can easily maintain the garden. Please note that when you sign-up you are requesting a garden; gardens are not guaranteed. In early May we will review the list of people that have signed-up and determine who we are able to deliver gardens to based on supply and location.

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What is your current financial situation?

I'm doing fine financially.

I'm making it financially, but just barely.

I don't know how I'm going to make it.

Why is receiving a garden a need for you?

Number of people in your home

I (recipient) speak Spanish and would like to have an interpreter when the team delivers my garden.

Yes

I received a garden last year and only need plants this year.

Yes

Name of person or organization submitting request (if different than recipient)

First Name

Last Name

Phone number of person or organization submitting request (if different than recipient)

(###)

###

####

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Request

Isaiah 58:10-11

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Family Garden Initiative

Request