Healthy Roots Application


 

Healthy Roots Application

2012-2013

If you are interested in having the Healthy Roots Program at your school, free of charge, please fill out the information below. The schools will be accepted on a first come, first serve basis.

Name of School:__________________________________________________________

 

Name of Contact Person:___________________________________________________

 

Phone Number and Email:__________________________________________________

 

Class Subject/Grade:_______________________________________________________

 

Number of Students in Class:________________________________________________

 

Time of Class and Class Length:______________________________________________

 

 

Please check which months are best for you:

 

Oct           ____

Nov          ____

Dec           ____

Jan            ____

Feb           ____

March       ____

April         ____

May          ____

 

 

Please email application to: ambermnapoleon@gmail.com or mail to:

The School Garden Network

P.O. Box 6274

Santa Rosa, CA 95406