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2. Garden Plot Registration and Release

   Priority is given to City of Carver residents (through April 30). Registration is open to non-City of Carver residents after May 1.

4. First Name*
5. Last Name*
7. Email Address*
9. Address*
11. City*
12. Zip Code*
14. Phone Number*
16. Plot(s) Requested*

    1. 4' x 8' plot - Qty 1
    2. 4' x 4' planter box (limited number available)
    3. 4' x 8' plot - Qty 2 (only if available. Assigned after March 16)
18. Community Garden Program Details*

    1. Acknowledgement - Community Garden Program Details

    I hereby acknowledge receipt of the Community Gardens Program Details provided at the time of application and by acknowledging here agree to all the terms and conditions wherein. I understand that failure to meet the Community Garden Program Details will result in the loss of the gardening privileges and any applicable reservation fees and security deposit fees.

20. Release of All Claims*

    1. Acknowledgement - Release of All Claims

    I am a participant in the City of Carver’s Community Garden. As a condition of being allowed to participate in the City of Carver’s Community Garden, I agree to the following: 

    1. I am duly aware of the risks and hazards that may arise through participation in the Community Garden, and assume any expenses and liabilities I incur in the event of an accident, illness, or other incapacity. If I have had any questions about the Community Garden, its nature, risks, or hazards, I have contacted the City and discussed those questions with him or her to my satisfaction.  

    2. In consideration of being granted the opportunity to participate in the Community Garden, I, for myself, my executors, administrators, invitees, guests, agents and assigns do hereby release and forever discharge the City of Carver and other gardeners from all claims of damages, demands, and any actions whatsoever, including those based on negligence, in any manner arising out of my participation in the Community Garden and I understand that this Release means that, among other things, I, for myself, my executors, administrators, invitees, guests, agents and assigns, am giving up my right to sue for any such losses, damages, injury, or costs that may be incurred.

    I have read this entire Release, fully understand it, and I agree to be legally bound by it.

22. Electronic Signature Agreement*

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

    1. I agree.
24. Electronic Signature

26. You will now be directed to the online web payment portal. 
    Payment of $40 is required ($20 rental fee, $20 security deposit) for one plot. 
    Please enter "Community Gardens" in Transaction Details.

    If requesting two plots, we will confirm availability and collect payment when applicable.

    For Internal Use:

    Plot No: _____ Fee Collected: ______ Deposit: ______
    Applicable Security Deposit Returned:  _______

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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field