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Name

Email

Phone

School

How much space is available?

Describe the space available:

How many classes can fit at one time?
One classMore than one class

Number of raised beds:

Size of beds:

Do you have an area to gather for instructions and sharing stories?
YesNo

Do you have an area to collect the harvest?
YesNo

Do you have a lunch or snack program?
YesNo

Do you have a fridge?
YesNo

Is your area fenced to keep dogs out?
YesNoNo, but fence is not needed or desired

Has your soil been tested for metals?
YesNo

Is your soil compacted?
YesNo

How many hours of direct sun does your garden get a day?
Less than 6 hoursMore than 6 hours

Do you compost?
YesNoNo, but we would like to start

Describe your access to water:

Describe your access to storage:

Describe your access to tools:

How is the garden maintained during the summer?
We have a program (day care, summer school) that will take care of the garden in summerRotating between familiesOther (describe)

Please indicate how many members of the team are from the following groups/roles:

Parent

Teacher

Administration

Caretaking

Community Partner

Student

What are the main goals of the garden project?
Healthy Eating – we want to produce food in enough quantity to impact on children’s dietsLearning where food comes from, tastes and flavoursLess about food, more about natureCaring for our school groundsBiodiversity and natural ecosystemsSocial/emotional benefits for childrenOther (describe)

What are your teaching objectives?
Primary scienceJunior sciencePlants and soilsBiodiversitySocial studiesOther (describe)

How can Green Thumbs help?
Primary scienceJunior sciencePlants and soilsBiodiversitySocial studiesOther (describe)

Thanks!