Pitt County Forms Center

2. 
   
   

   403 Government Circle, Suite 4, Greenville, NC 27834  |  Telephone: 252-902-1752

    Garden Application & Release Form
    

4. Applicant First Name*
5. Last Name*
6. Email Address*
8. Name of Parent/Guardian if Applicant is a Minor
10. Address*
12. City*
13. State*
14. Zip Code*
16. Phone Number*
17. Additional Contact Number
19. Did you have a plot last year?*

    1. Yes
    2. No
20. Number of plots interested in?*

    1. 1
    2. 2
21. Would you prefer rhe organic or the non-organic side of the garden?

    1. Organic
    2. Non-organic
23. Please sign up for at least one of the garden jobs listed below. *

    1. Mowing:
       Mow the grassy areas between beds inside the garden and string trim around the exterior perimeter of the garden. A sign- up calendar will allow you to choose which weeks you will be responsible for this task.
    2. Composting:
       Help to manage the compost bins and the vermicomposting tubs. Shred debris pile, turn or sieve compost, feed vermicompost bins and harvest vermicompost.
    3. Fruit Beds:
       Help maintain the communal fruit beds. This includes blueberries, figs, blackberries, and strawberries. Weed and harvest fruit as necessary. Notify the garden manager of any needs or issues in these beds. Garden manager will organize any fertilizer needs or trimming and shaping of plants.
    4. Welcome Garden:
       Help maintain the welcome garden and fence garden bed. Weed, fertilize, and clean paths regularly. Notify garden manager of any needs or issues in these beds.
    5. General Maintenance (returning gardeners only):
       Help to maintain the garden’s common areas including the Welcome Garden, pollinator borders, blackberry or blueberry plantings, and the orchard. Remove trash and renovate abandoned plots. Maintain tools, equipment, hoses, and keep the sheds and deck boxes organized. Members of this team can select which area/s they wish to maintain.
25. Photo Permission*

    I agree to be photographed in the garden and the use of those photos in media, advertising, and published garden information. 

    1. I agree

    1. I do not agree
27. I understand and agree to comply with the terms and conditions for participation in the Making Pitt Fit Community Garden.*

    View Gardner Guidelines
    View Garden Participation Release

    1. I agree.

29. The purpose of this agreement is to provide garden plots for Pitt County residents. 
    4’ x 20’ Garden Plot (80 sq. ft.) Annual Rental Fee = $15.00 *An initial $25.00 clean-up fee will be collected once from new gardeners.

    Once your application is accepted, 
    exact cash or check payable to Pitt County Government may be dropped off at:
    
    Pitt County Soil and Water Conservation 
    Making Pitt Fit Community Garden 
    403 Government Circle, Suite 4, 
    Greenville, NC 27834 

31. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
33. Applicant or Parent/Guardian if Applicant is a Minor - Electronic Signature *
34. Date*
    Date
36. Please upload a copy of a valid ID of the signer for verification.*
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38. Submit

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