Community Garden Application — Brecksville Location Name * First Name Last Name Email * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Date MM DD YYYY Number of plots requested: * Additional comments or questions: I understand this is an application and that plots will be designated at the plot party when they are paid for and waivers are signed: * Digital Signiture Thank you! We will reach out to your shortly with more information.