Membership Application

UPDATE: We do not have any open plots left for the 2013 Growing Season! Please do not submit any new applications!
We will post more information about our waiting list shortly after we finalize our new memberships.

You can also view and download a printable copy of this application here:

Thank you for your interest in the Merchant Park Community Garden and for taking the time to apply for a Garden Plot and/or Garden Membership.

Read carefully the rules and procedures on this page before submitting this application. Failure to follow them can result in termination of this agreement and forfeiture of any payments that have been made.

Payment is due with this form. Payment does not guarantee any specific plot assignment. Plots will be awarded on a first-come-first-serve basis as they become available and are awarded at the discretion of the Garden’s Membership Director..

When you get a plot, you become an official member of the Merchant Park Community Garden.

Gardener Name(required)

Other family members / friends that will be gardening this plot with you:

I/We are applying for (check one):(required) First time plot ($100)

Plot Renwal + Compost Top Off ($75.00)

Plot Renewal ($50.00)

Reduced Fee Plot*

(*Reduced Fee Plots must be arranged with the Membership Director: Veronica Harrigan)

PLEASE PAY BY CHECK OR ONLINE VIA PAYPAL (see link below) NO CASH

Address:

Phone Numbers:

Home:

Cell:

Email Address:(required)

In case of emergency, please contact:

Name:

Phone:

Relationship:

Merchant Park Community Garden Waiver and Liability Release
The undersigned, inconsideration of participation in the Community Garden, agree to indemnify and hold the Merchant Park Community Garden and the City of Chicago harmless and release them from any and all liability for injury which may be suffered by the above persons and their guests, arising out of, or in any way connected with participation in the garden.

I have read and understand the garden rules and signed the Merchant Park Community Garden Waiver and Liability of Release.

I HEREBY REPRESENT THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I/WE FULLY UNDERSTAND THAT I/WE ASSUME ALL RISKS FOR ANY INJURIES RECEIVED.

Waiver and Liability Release:

Merchant Park Community Garden Photo Release
I hereby grant to Merchant Park Community Garden, its Garden Committee, and designated agents and assigns the right to photograph me at the garden and at garden events and to use the photos for publication purposes, whether electronic, print, digital or electronic publishing via the Internet.

Photo Release:

Payment

Please be sure you’ve reviewed the Merchant Park Community Garden Rules carefully before completing your application payment. That page includes information about our financial policies.

You can deliver a payment in person by check to Veronica Harrigan. Please make checks payable to “Merchant Park Community Garden.”

Cash or Check payment for first-time fee will be $100

If you would prefer to pay online with a credit card, you can do so through our PayPal account – please note that you do not have to sign up for Paypal to do this.

We will be charged a small processing fee for each online payment, so we’d appreciate it if you’d consider adding $3.00 for a first-time garden fee to cover those costs:

Online Payment (credit or debit): $100+$3 (for processing fees online) = $103.00

1 response to Membership Application

Kathleen Barnes said on March 21, 2013

Good Afternoon! I am so happy to become part of our community garden. I just signed up myself (Kathleen Barnes) and my mother in law (Adilah Bilal) separately but I wanted to let you know I had used the same credit card for payment because it is her Mother’s Day gift this year. Is it possible to have garden plot near each other? Thank you.
Kathleen Barnes

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Merchant Park Community Garden