Upland Hills Csa Application Form 2009[1]

Upland Hills CSA 2009 Application Form Hello! We are excited and thinking green because of all the plans and energy that have been given to the Upland Hills CSA project. We have a great organic farmer in Les Roggenbuck. In addition, Matt Vance is a wonderful biologist and conservationist, who will be overseeing restoration of the land and introducing indigenous plants to help bring friendly pollinators and restore soil to support our farmer’s wonderful organic practices. We are planning for our season to start sometime in June and run into September for a total of 16 weeks.

Last Name Street City Home Phone E-mail

First State

Zip

Work Phone Cell Number of People in your household:

Group email is invaluable for communicating to our members. Will you read our emails? Yes____ No____

Type of Share (please choose one, a $100 deposit today, reserves your share) _____ Full Share: $500 = 16 weeks ($450, If paid in full before April 15th) _____ Working Share: $400 = 16 weeks ($350, If paid in full before April 15th) Work shares; expect 2 hours per week depending on number of work shares. Work shares will be billed as a full share if 3 working periods are missed.

I prefer to pay: _____ In Full _____ Monthly _____ Monthly

- Payment due at sign-up - Full Share: $100 at sign-up and $100 per month for 4 months - Working Share: $100 at sign-up and $75 per month for 4 months

Pick-up Days and Times Please rank your first (1) and second (2) preferred pick-up days and times. _____ Monday _____ Morning _____ Tuesday _____ Noon _____ Wednesday _____ Afternoon _____ Thursday _____ Evening _____ Friday _____ Saturday Shares are available for pickup twice per week, days and times to be determined. Other pickup sites to be determined, estimated extra $50 fee.

What veggies do you like the most? Please rank the following vegetables by preference (1) A Must, can’t get enough (4) A little goes a long way (2) A Favorite, use large quantities (5) I wouldn’t eat it as a kid, I won’t eat it now (3) Use moderate amounts _____ Basil _____ Beets _____ Broccoli _____ Brussels Sprouts _____ Cabbage _____ Cantaloupe _____ Carrots _____ Cauliflower _____ Cilantro _____ Cucumbers _____ Eggplant _____ Garlic _____ Green Beans _____ Kohlrabi

_____ Leeks _____ Lettuces _____ Onions _____ Parsley _____ Parsnips _____ Peas _____ Peppers (hot) _____ Peppers (sweet) _____ Potatoes _____ Pumpkins _____ Radishes _____ Rutabagas _____ Scallions _____ Summer Squash

_____ Sweet Corn _____ Tomatoes _____ Turnips _____ Watermelon _____ Winter Squash _____ Zucchini _____ Asparagus _____ Strawberries _____ Rhubarb _____ Other _____ Other _____ Other _____ Other _____ Other

I would like to participate in the following farm activities: (optional) _____ Greenhouse work

_____ Field Work

_____ Harvesting

_____ Planning Committee

_____ Newsletter

_____ Advertising

_____ Cooking Classes

_____ Canning

_____ Picnics

_____ Hay Rides

_____ Seasonal Celebrations

_____ Other

Organic Certification: _____ Means a Lot to Me _____ Is important _____ I can see how you farm, certification is not necessary _____ I just want fresh and local, organic is not that important to me

I understand that I am buying a share in a community supported farm, not a specific amount of produce. I am entitled, though, to my equal share of the farm production. I understand that there are risks involved in farming, and I am willing to share those risks with this farm in order to secure my food source. Signed

Date

Please mail this application to: Upland Hills CSA C/O Scott LaFond 221 Baldwin Ave. Royal Oak, MI 48067 248-823-1876 phone 877-572-6088 fax Email: [email protected]

Liability Waiver for Members and Guests –All participating Adults must sign this wavier (Both parents of minor children must also sign) The undersigned on her/his behalf AND on behalf of any minor who the undersigned is a parent or guardian, agrees to release the owners of real and personal property owned, leased or rented by Upland Hills CSA, its owners and workers for the loss, expense, claim or cause of action, however caused, arising directly or indirectly from participating in any Upland Hills CSA’s activity whether on or off property owned by Upland Hills CSA or its owners and/or members. I do hereby agree to waive and relinquish all claims I may have against Upland Hills CSA and its owners, officers, members, agents, workers and employees from any and all claims for injuries, damage or loss that I may have or which may accrue to me as a result of my participation in Upland Hills CSA. The items and issues agreed upon in this paragraph shall survive beyond the expiration, or otherwise termination, of the membership share agreement. I further agree to indemnify and hold harmless and defend Upland Hills CSA and its owners, officers, members, agents, workers, assistants, interns and employees from any and all claims for injuries, damage or loss sustained by me and arising out of, connected with, or in any way associated with the activities of Upland Hills CSA. Upland Hills CSA may use other properties not owned by the Websters to grow produce of which I do hereby agree to waive and relinquish all claims I may have against those owners, officers, members, agents, workers, assistants, interns and employees from any and all claims for injuries, damage or loss that I may have or which may accrue to me as a result of my participation in activities at said properties.

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Signature

Signature

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Print Name

Print Name

Date________________________

Date_______________________

2009 Upland Hills CSA Share Agreement Please read and sign the following: I wish to support Upland Hills CSA. I understand that the CSA is committed to growing crops as designated in the crop production plan, to the best of their abilities, weather permitting. I understand that as a member of UHCSA I am making a financial commitment to share in the risks and rewards of food production. I recognize that there is no guarantee to the amount of vegetables and herbs I will receive. I understand that I have a full responsibility to fulfill any work contribution that I agree to. I understand that I am required to work specified hours each month during the growing season (April thru September). I will also cooperate with training in work procedures that are safe and efficient, being willing to learn and be supervised. I understand that it is my responsibility to pick up my share at Upland Hills CSA during the designated time period. I understand that $100.00 of my share is non-refundable in the event I cancel my membership prior to the first distribution. I understand that my 2009 membership fee is not refundable after May 1st. I agree to the above terms of membership in Upland Hills CSA. I understand that the owners/members of Upland Hills CSA reserve the right to terminate my membership if I don't abide by the terms as stated. 1. _______________________________________

2. ________________________________________

Signature

Signature

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Print Name

Print Name

Date: ___________________________ Date: ________________________________ This membership share agreement shall be effective on the 1st day of May 2009 and shall expire on the 1st day of November