New Member Application Form - Community Garden Club of Duxbury

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.