2010 City of Lafayette Wilson Community Garden

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					                                            2010
                                      City of Lafayette
                                 Wilson Community Garden
                                     Application Form

IMPORTANT INFORMATION
The following is required to participate in the Wilson Community Gardens Program
* Please fill out this application
* Please fill out and sign the Waiver and Rules & Regulations form
* Fee must be received at the time of application
* Send application, forms and fee to: Wilson Community Garden
                                           111 W. Baseline Rd.
                                              Lafayette, CO 80026


GENERAL INFORMATION:

Gardener Name #1____________________________________________________

Gardener Name #2____________________________________________________

Mailing Address________________________________________ City__________________ Zip__________

Home Phone_____________________ Work Phone_________________Work Phone #2_________________

E-Mail Address #1_________________________________________________________

E-Mail Address #2_________________________________________________________


PLOT INFORMATION:

Plot Number (s)_______________ _________________
(Rental of plot(s) from April 1 - November 13, 2010)


FEE INFORMATION:

Please make checks payable to: City of Lafayette

Plot sizes are either 20x20 or 10x40

400 sq. feet $50.00 per plot                                         Plot fee enclosed: $______________

In order to be eligible to rent a garden plot for next year, clean
up is required at the end of the growing season.
                                                                     Office Use Only:
                                                                     Date recvd_________   initial__________
                                                                     check #___________    amount_________
                                                                     Plot #(s)__________   rules rcvd________
                                                                                ________   waiver rcvd_______