Name

Address

Phone

e-mail

Number of 15' x 20' plots requested: ______(A maximum of 2 plots for new gardeners and 4 plots for returning gardeners.)

Belchertown residents: $20/plot

Non-residents: $25/plot Total Enclosed: $ ______________ Please make checks payable to: Belchertown Community Garden / NESFI.

Gardener’s Questionnaire

Returning gardener? Yes * No *

If possible, would you like the same plot you had previously? Yes * No *

Are you gardening with small children, seniors, or have specialneeds? (Please describe):

* I am willing to participate in a BCG Core Group that will meetfrom time to time and provide guidance and leadership for Community Garden planning, management, and activities.

I am willing to volunteer to assist with the following tasks (please select at least one): * plot setup and layout * end-of-season clean-up * newsletter * mowing/weeding common areas* garden neighbor (e.g., assist someone with weeding/watering)* tools/tool shed maintenance* plan events (e.g., plant sale or harvest pot luck supper) * tend communal areas (e.g., herb garden, flower border)

Agreement & Liability Waiver

I have read and agree to support the Belchertown CommunityGardeners’ Rules (see reverse side), attached to and considered a part of this document, and understand that neither the New England Small Farm Institute (NESFI) nor the Belchertown Community Garden Association (BCG) is responsible for the success of my garden. I further agree to hold NESFI and the BCGharmless for any loss, injury, damage, or claim occurring in con-nection with use of the garden and/or participation in associatedactivities, whether by me, by members of my family, by myguests or associates, or by others under my control.

Signature

Address

Please complete entire form (keep a copy of the Garden Ruleslisted on the back of this form) and mail with payment to:BCG/NESFI, Post Office Box 937, Belchertown, MA 01007Questions? email: bcgardennews.com or call Jan at NESFI: 413-323-4531

2016 Registration & Payment Form(Please print)

Belchertown Community Garden at Lampson Brook Farm

BCG Community Gardeners’ Rules

Gardeners must maintain their plots once the garden is open, even if they will not be planted until a later date.

Gardeners are encouraged to use hay, straw, leaves or plastic as a mulch to prevent weed growth and conserve moisture. Plots that become overgrown and remain unplanted into mid-June will be reassigned. If you are unable to continue to maintain your plot, please contact Bruce Klockars (253-9723) or David Reed (323-4531) so the plot may be reassigned.

Gardeners may not use chemical fertilizers, pesticides, herbicides or fungicides. If in doubt, please check in with the NESFI office.

Gardeners may use the community tools. Please make sure to return them to the shed; don’t keep them in your plot when not in use.

Water for irrigation is provided, but it is not free. The cost is included in your registration fee. Please make sure the water is turned off when you have finished using it, return cans and buckets to the watering station, and refill the rain barrels. Water is a precious resource which we must buy from the town. It should not be wasted!

Plant tall crops where they will not shade neighboring plots.

Keep crops from encroaching on neighboring plots and weed adjacent walkways. Good boundaries make good neighbors!

Clean up after pets and keep them leashed or tied away from garden plots. Pets may not be left unsupervised.

Help children respect neighboring plots and the fragility of seedlings. For safety, children must not be allowed to wander around the farm and buildings unsupervised, as there are many hazards on site, including traffic and heavy machinery.

NESFI kindly allows (and requires) community gardeners to use bathroom facilities located in First Barn. Please help keep them clean.