Garden in a Bucket 
Registration Form
The garden in a bucket program is meant for children 18 years old and younger.  Younger children will require parental support.

To register for the program, complete the form below and send it with a check for $15 to Granny’s Garden School, 20 Miamiview Avenue, Loveland, OH 45140.  Please see the bottom of the page to pay by credit card.  

The buckets and other supplies can be picked up at Granny's Spring Garden Party on May 2-3rd. on the grounds of the Loveland Primary and Elementary Schools.

Child’s Name ______________________________________________________________

Age: ______  School ________________________________________________________

Parent’s Name _____________________________________________________________

Mailing address : ____________________________________________________________

_________________________________________________________________________

E-mail: ________________________________________________________

Telephone: ______________________

For your child to answer - Why are you interested in participating in this program? 
_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

I would like to make a donation of ______ to the Granny's Garden School program.
 
If you would like to pay with a credit card using Pay Pal, please use the table below. 

Select the number of buckets you would like to purchase. You can also add a donation if you would like.  The total will be calculated for you. Then click on the Pay Now button.

Number of buckets    $
Add a Donation    $
Total    $