THECOMMUNITYGARDENCLUBOFDUXBURY ApplicationforMembership Pleaseprintclearlyortype. (Pleasebeawaretheinformationbelow willbepublishedinouryearbook.) Pleasenote,onlyonemailingaddress,onephonenumber,andoneemailaddresscanbeenteredinto ourdatabase.Pleaseindicateyourpreferrednumbers/emails. Name______________________________________________________________________________________________________ Address____________________________________________________________________________________________________ PrimaryPhone#__________________________________________________________________________________________ Emailaddress____________________________________________________________________________________________ (Ifyouselectacompanyemailasyourprimaryemail,wesuggestthatyouaskyourcompanyemail administratornottoblockourClubemailcommunications.) SponsorName____________________________________________________________________________________________ Doyouhaveanycertifications? GardenConsultant: Master_____Life_____Accredited______Student_____ EnvironmentalConsultant: Master_____Life_____Accredited______Student_____ LandscapeConsultant: Master_____Life_____Accredited______Student_____ FlowerShowJudge: Master_____Life_____Accredited______Student_____ Weareadedicatedserviceclub.Wehavefoundthatatotallycommittedmemberbringsnotonly vitalitytotheClub,butmuchfulfillmenttothemember.Therearemanyopportunitiesforlearning andfun. Someoftheactivitiestowhichyoumaycontributeinclude: Flowershow Newsletter WreathandGreenssale Yearbook Gardentour Refreshments Plantsale Horti‐therapywithseniors Townbeautificationmaintenance Publicity PleaseindicateanytalentsyoumightliketosharewiththeClub. ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ Yourfirsttwoyearsofmembershipareprovisional.Tomaintainmembership,youareexpectedto contributeaminimumof20hoursperyearparticipatinginClubactivitiesofyourchoice(splitevenly betweenfundraisingactivitiesandcommunity/clubserviceactivities)includingparticipatinginthe summerwateringoftheClub‐maintainedcommunitygardens,andattendatleastthreeofthe monthlymeetings.Itisyourresponsibilitytokeeparecordofyourhoursandtopresentyourrecord totheMembershipChairmanbytheannualJunemeeting. Annualduesforprovisionalmembersare$40.00.  Iwouldliketohavemyyearbookmailedtomyhomeforanadditional$2.00__________ Totalenclosed:_______________________________check#___________ I agree to have my photo put on the club website, facebook, and newspaper articles Signed________________________________________________________________________________________ Pleasecompleteandreturnthisformalongwithyourmembershipfeepayableto “TheCommunityGardenClubofDuxbury”,P.O.Box1713,Duxbury,MA02331.