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2. Name*
4. Address*
5. City*
6. Zip Code*
8. Phone*
9. Cell
10. E-Mail
12. Participating Spouse and/or Children
14. 6. If given a box, are you fully capable of maintaining your box throughout the entire gardening season?*

    1. Yes
    2. No
15. Are you willing to contribute to the overall maintenance of the garden throughout the gardening season? *

    1. Yes
    2. No
16. Are you interested in a disabled-friendly plot?

    1. Yes
    2. No
18. I have read and agree to the policies and responsibilities set forth by the Borough of Fort Lee on the previous page. Please e-sign and date.*
20. Important Information

    ***Please note, Gardeners are selected on a year-by-year basis. if you are assigned a garden box there are a few rules and regulations each gardener is expected to follow. Any violation may result in a gardener being permanently expelled from use of the garden. The garden is self-maintained. All gardeners are expected to maintain their boxes as well as contribute to the overall maintenance of the garden. Each gardener should treat each other with respect and respect each other’s garden boxes and personal belongings. Any bullying or harassment or vandalism of another gardener’s property will result in immediate removal of that gardener. NO DOGS allowed in the garden. Please electronically sign below to confirm you have read the rules and regulations and will not violate any of them if you are selected as one of the gardeners for the 2023 season.

22. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
24. Electronic Signature
28. OFFICE USE ONLY: Plot Approved
29. Plot Number
33. 
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35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field