Forms - CDC Quinte

forms

Below you will find two forms; one for Community Garden, the other for Good Baby Box. If you are interested in either program please fill out and submit the applications.

Community Gardens

If you would like to participate please read the terms/ conditions then fill out and submit the form below

Or you can fill out the form and return it to the office, fax it to 613-968-2251, or email a copy to gfb@cdcquinte.com

Garden Registration in Word

Garden Registration in PDF

Location

Name

Email

Phone

Fax

Address

Number of People in Family

Additional Individuals receiving vegetables grown in your plot

Message

Please read the terms/conditions before submitting your application Please read the terms/conditions before submitting your application I accept and agree to the above terms and conditions, a copy of which will be made for my own personal records.

Good Baby Box

If you would like to participate please read the terms/ conditions then fill out and submit the form below.

Or you can fill out the form and return it to the office, fax it to 613-968-2251, or email a copy to gbb@cdcquinte.com

Registration Form PDF

Registration Form Word

Name

Phone

Address

Name of Child

Child's Date of Birth

Name & Ages of Additional Children in Your Family

Message

By checking the boxes below I understand that the CDC will: By checking the boxes below I understand that the CDC will: ensure the safe storage of private information electronically and/or on-site shred any documents containing personal information when no longer required. not release personal information without the expressed written consent of its customers, clients, volunteers, employees or partners, as appropriate, except as required by law