Garden Registration Form

Do you have a children's garden education program in place or in process at your school or youth organization?

Join Rhode Island's Campaign 2010 and register your children's garden here.

To see a sample of what your registration will look like, visit the CGN Directory and click on "Sample Elementary School."

Please note: One registration per location.

= Required Field

School/Organization Location Information
School/Organization Name	School District
Principal/Director First Name	Principal/Director Last Name
Street Address	City
State/Province	Zip
Country	Website
Telephone	Fax
Contact Person
Contact Person	Contact Address
Contact Phone	Contact Email

School/Youth Organization Characteristics

Tell us about your School/Organization. Check all that apply.
Type Private Public Parochial Charter Home School Club Association After School Program Summer Program Other		Grades pre-K Elementary Middle Jr. High High School		Location Urban Rural Suburban
Tell us about your children's garden. Check all that apply.
Type Butterfly Garden Herb Garden Vegetable Garden Flower Garden Nature/Wildlife Habitat Multipurpose Landscape On-site Greenhouse Windowsill/Grow-Light Gardens in Classrooms Indoor containers Barrier-free, accessible Other	Purpose Curricula Match Environmental Education Nutrition Education Therapeutic Activities Alternative Learning Food Production Plant Production Plant and Flower Sales Beautification, Landscaping Community Service		Location Indoors Outdoors Indoor & Outdoor		Use Year-round During School Year Only
Year garden first planted			Number of Students
Tell us about your garden program.
You can include goals, plans, challenges, needs, insights, etc. (You will be able to update this information as needed.)
Create your login.
Please fill in your e-mail address and a password. You will use this information to log into the site when your registration is approved. You will then be able to add photos and update your information as needed.
Contact Email			Password Confirm your password by typing it again: