Highland Gardens
Community Garden Plot Application

Gardner's Full Name_________________________________________________

Gardner's Address__________________________________________________

Gardner's Telephone Number ___________________cell___________________

Gardner's Email Address ____________________________DOB_____________

I am physically disabled and need special accommodations in order to garden. Describe needs below:

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Each membership to the Garden is good for one year. The cost is $ 2.00 per plot a year and is on a first come/first serve basis. Gardeners reserving plots the first year will have priority to reserve plots in subsequent years.

Payment for membership goes directly into the community garden fund and will be used for the Garden's needs, such as fencing, materials, tools, etc.

Gardeners may work in their gardens 365 days a year during daylight hours. The City of Hollywood reserves the right to close the grounds for maintenance, or any other purpose, at any time. If the City decides to terminate this agreement, the Gardeners will be given notice and time to harvest what they have planted.

Please submit completed Application along with payment. Checks payable to the Highland Garden Civic Association. (Memo: Community Garden.)

Please call Marie at 786-357-2197 to make arrangements to submit your application as well as your check and the signed waivers, policies and rules. Thank you.