Agency Sign-up

For agencies that would like to use up to 2 boxes for various clients in their organizations. (Limit 5 clients per box)

If you are an agency registering just one client please use our individual sign-up page linked here.

Agency Sign-up

Agency Name

Agency Contact Person

Phone

Agency Address

How many boxes will you need (up to 5 people per box)

Please list names of all persons that will be tending a garden plot and one form of contact (email or phone number). Please also indicate if they prefer text or phone call. If the member needs to be contacted through their care provider please add "contact care provider" after their name. (example: James Murray, 503-693-4920, text)

Please add names and contact (phone or email) of all providers that will be supporting members at the garden. Please add the name of the person they are supporting. (example: Cloe Green, Cloegreen@gmail.com, supports James Murray)

Check this box if you need a garden plot on the sidewalk for the use of people in wheelchairs or limited mobility.

Aspire Together uses pictures of members in the garden to promote the program on social media, in newsletters, and while seeking funding. Checking this box indicates that your agency understands and members listed above agree to allow us to use their pictures unless otherwise indicated in the box below.

List any garden members or staff here that DO NOT allow pictures on social media or other forms of program promotion. (Aspire Together takes the privacy of our garden members very seriously will not post pictures if members do not want them used)

The garden opens May 1st. Each gardener needs to pick a time to meet with staff at the garden to talk about rules, how to use supplies, receive your garden passport, etc. Please pick a day below and write in a time your are available. Staff will reach out to you to finalize day(s) and time(s).

Wednesday, May 1st

Please contact me about another day/time.

Add time/times

By signing below I have agreed to the following (check the box once you read and understand):

Our agencies staff will do their best to help members take care of their garden beds by attending to the garden at least once a week.

Our staff will help members show respect and show kindness their fellow gardeners.

Our staff will encourage members to respect nature and the garden by picking up garbage, pulling weeds, and taking care of the space.

Our staff will encourage members to attend the garden classes and participate in the program activities. They will inform members about the activities and keep Aspire Together informed about whether or not they will be in attendence.

Our agency understands that the church is letting us use their property and we will help our members respect the space and encourage them to take responsibility for any damages. (Please do not use the playground, Aspire Together is not liable for playground related injuries)

Your Signature

Once submitted you will receive an email about acceptance into our program. We ask that each gardener pays a small fee of $15 to help us with the upkeep of the garden. Scholarships are available for those unable to pay this fee.

Thanks for registering to our garden. See you there!

Agency Sign-up

For agencies that would like to use up to 2 boxes for various clients in their organizations. (Limit 5 clients per box)

If you are an agency registering just one client please use our individual sign-up page linked here.

Agency Sign-up

Subscribe to Our Newsletter

Follow Us

Please Contact Us At:

Agency Sign-up

For agencies that would like to use up to 2 boxes for various clients in their organizations. (Limit 5 clients per box) If you are an agency registering just one client please use our individual sign-up page linked here.

Agency Sign-up

Subscribe to Our Newsletter

Follow Us

Please Contact Us At:

For agencies that would like to use up to 2 boxes for various clients in their organizations. (Limit 5 clients per box)

If you are an agency registering just one client please use our individual sign-up page linked here.