Contact Details

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* 1. What is your first Name?

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* 2. What is your last name?

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* 3. At what email address would you like to be contacted?

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* 4. Contact Phone Number:

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* 5. What is your street address?

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* 6. Suburb

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* 7. I would you like to:

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* 8. Volunteers
Please indicate which activities you would like to volunteer for:

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* 9. Language spoken (please circle):

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* 10. Open Gardens

Have you have opened your home garden at previous Backyard Harvest Festivals?

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* 11. Please briefly describe your garden.

What do you normally have growing in your garden around November?
How big is it?
How much and what sort of produce do you harvest? (Please provide details):

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* 12. Do you use any special techniques or have any special garden features (Please check all that apply):

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* 13. How confident are you to take a group of 15 – 20 people through your garden and explain what you are growing and your gardening techniques:

For more information or assistance with this form, email lee.tozzi@darebin.vic.gov.au or call 8470 8392.
The collection and handling of personal information is in accordance with Council’s Privacy Policy which is displayed on Council’s website and available for inspection at, or collection from, Council’s customer service centre/s. For further information, please read Council’s Privacy Notice.
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