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2. FIRST NAME*
3. LAST NAME*
5. ADDRESS1*
7. ADDRESS2
9. CITY*
10. STATE*
11. ZIP*
13. EMAIL ADDRESS*
14. PHONE NUMBER*
16. Please let us know if you wish to participate in the 2026 Plant-A-Patch program at the Barclay Farmstead.
18. Do you plan to garden in 2026?*

    1. Yes, I plan to garden.
    2. No, I do not plan to garden.
       (I understand that I am forfeiting any previous garden plots and would be considered a new gardener if I later change my mind.)
20. If you selected "YES" please submit the form below.
24. RETURNING GARDENERS

    All returning gardeners should complete the remainder of this form, then click submit when finished.

26. Please click the link below to confirm your garden plot.
    Returning Gardener Plot List
28. Please select one.

    1. I would like to keep the SAME PLOTS as previously assigned in 2026.
    2. I would like to INCREASE my number of plots.
    3. I would like to DECREASE my number of plots.
30. INCREASE PLOTS

    Please indicate which plot(s) you would like added.

31. DECREASE PLOTS

    Please indicate which plot(s) you would like removed.

33. 2026 MEMO OF UNDERSTANDING
    2026 Memo of Understanding (PDF)

    *Please be sure to read the 2026 Memo of Understanding. *

35. By checking the check mark below, you agree to abide by the 2026 Memo of Understanding*

    1. Yes
37. Please complete this form by Friday, January 30, 2026

    If you have any questions, please do not hesitate to reach out: 856-488-7886 or jsmith@chnj.gov

Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field