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Community Supported Agriculture (CSA) Program - Seeds of Hope Farm Low-Income Subsidized Membership Agreement CSA share and

value - A CSA share is an assortment of freshly-picked seasonally and organically grown vegetables produced on the farm, harvested by farm staff, and placed in a box for distribution to farm members. A wide variety of vegetables, herbs, and possibly fruits will be in production to serve the nutritional needs of our community. The contents of a share will be the same for all farm members. A shares value is planned to average, on a weekly basis, a local growers prevailing market value of $20.00. Farm member - One who has subscribed to the CSA and receives a weekly or bi-weekly share. Farm membership has two tiers: a subsidized tier of qualifying low-income members who pay $10 per share, and a tier of sponsoring members who pay a higher share price to allow the farm to offer this 50% discount. CSA term - The twenty-eight (28)-week CSA term will begin on May 16, 2014 and end on November 21, 2014. Membership Guidelines: As a member, I understand and agree to the following: Seeds of Hope Farm, which is operated by Community Action Agency of St. Louis County, Inc. (CAASTLC), will act in good faith to provide produce for the duration of the prescribed CSA term, but there is no guarantee of quantities or contents of the weekly shares. I am aware that a printed CSA newsletter will be distributed to me each week as part of my share. The newsletter will be a source of information about events hosted at the farm, our CSA classes and other gatherings, and broader gardening opportunities. It will feature nutrition information, recipes and meal plan ideas for seasonal CSA ingredients. I have the option of reading this information online at the Seeds of Hope Farms blog (http://seedsofhopefarm.org/) and may opt out of receiving a paper copy by contacting the farm manager. I am responsible for picking up my share. The following options are available to me for picking up my share: a) Shares will be distributed from the Seeds of Hope farm-site, 1120 Trampe Avenue, and made available each Friday beginning at 3:00 PM until 9:00 PM, with the exception that the Bi-weekly shares (see below for description of Bi-weekly shares) will be made available every other Friday. Signs will be set out on the farm premises to indicate directions on locating and collecting shares. Other pick-up sites are in Bel-Ridge and Overland. b) If I am unable to pick up my share, I will arrange for someone else to pick up my share. If my share is not collected by 6:00 PM on the next day, Saturday, I understand that CAASTLC may distribute my share to other customers without a refund to me. Collection of a share on a Saturday requires advance arrangement with the farm manager. c) Alternate places or times for pick-up may become available, pending a written agreement with the farm manager.

d) I will notify the farm manager at 314.566.8643 or ghahn@caastlc.org in advance if I am not able to pick-up my share.

e) If in a given week I do not pick-up my share and do not notify the farm manager by phone or email that I will not be picking-up, no shares will be made for me until I have contacted the farm manager and paid for the upcoming share. Seeds of Hope Farm encourages you to continue your membership and resume participation. Farm Management may cancel membership at any time for disagreeable or unruly behavior, including but not limited to abuse or behavior that farm management views as disruptive to a community atmosphere.

Low-Income Subsidized Share The cost of a low-income subsidized share is $10.00. Subsidized shares are available for purchase by area residents whose household income is at or below 125% of the federal poverty level. Subsidized shares are paid at least one week in advance of picking up shares. Please read the income table at the bottom of this application to determine if your household qualifies. Payment is accomplished by submitting an initial $10.00 payment one week prior to the first week of pick-up and paying $10.00 thereafter at each pick-up until the next to last week. One week advance payment is required. If advance payment for a share is not received by the farm, that share will not be packed for the member. If a member would like to arrange to pick up a share without having paid one week in advance, the member must first consult the farm manager to determine availability. (Contact information is below.) Subsidized Bi-weekly Share Option Bi-weekly members pick up a share once every other (alternating) week. An A week and a B week will be assigned to each bi-weekly member. Each member will receive a listing of the A and B week schedule. The schedule will also be posted on our website at http://seedsofhopefarm.org. Week A will begin on May 16, 2014 and week B will begin May 23, 2014. Work share A member may reduce the cost of a share and learn more about farming by volunteering on the farm. The cost of each share may be reduced on a weekly basis by $4.00 as compensation for two (2) hours of field assistance. The maximum share price reduction is $4.00 per week. Volunteerism must be scheduled in advance with the Farm Manager.

I am signing up for a: (please check only one) ___ Low-Income Subsidized Share ($10 per week one week in advance) ___ Low-Income Subsidized Bi-weekly Share ($10 every other week one week in advance) Preferred place and time of pick-up: (please check only one) ___ Spanish Lake, Seeds of Hope Farm site, 1120 Trampe Ave, 63138, Fridays between 3:00 PM and 9:00 PM. ___ Overland, CAASTLC office, 2709 Woodson Rd, 63114, Fridays between 3:00 PM and 5:00 PM. ___ Bel-Ridge, 8920 Spur Lane, 63121, Fridays between 3:00 PM and 9:00 PM. ___ Overland Farmers Market, 2500 Woodson Rd, Overland, MO,63114, Saturdays, 8:00 AM-12:30 PM. # of Members in Family 1 2 3 4 5 6 7 8 Monthly Income $ 1,216 $ 1,639 $ 2,061 $ 2,484 $ 2,907 $ 3,330 $ 3,753 $ 4,176 More Than Less Than

Household Income Voluntary Self-Disclosure Please read the table to the right and check the category of household income that best describes your family. A mark in the Less Than column will indicate your household is at or below 125% of the federal poverty level and therefore qualifies for subsidized membership.

Contact Information: Address ___________________________________ Phone__________________________________ Email______________________________________ Preferred mode of contact: __________________ Alternate phone and/or email ____________________________________________________________ Membership agreement and payment may be mailed or brought in person to: CAASTLC, Attn: Gabriel Hahn, 2709 Woodson Rd., Overland, MO 63114 / 314-566-8643 / ghahn@caastlc.org Methods of Payment Accepted methods of payment are by cash, money order, check, and debit/credit card. Please contact the farm manager about credit, debit, or Electronic Benefit Transfer (EBT/food stamps) option. Make check or money order payable to CAASTLC. DO NOT SEND CASH BY MAIL. If paying by check or money order, amount enclosed: $___________.00

Waiver and Release & Authorization to Photograph and/or Videotape I agree to waive and release CAASTLC and their officials, employees, agents and insurers from any claim, loss or liability for death, personal injury, or loss or damage to personal property arising out of my use of the Seeds of Hope Farm unless arising out of CAASTLCs and//or Owners intentional wrongful acts. This waiver and release shall be governed by Missouri law. I authorize photograph(s) and/or videotaping to be taken of me by CAASTLC solely for the purposes of promotion, documentation, and/or possible publication in newspaper(s), CAASTLC report(s), CAASTLC inhouse materials, and/or the general media. I understand that neither I nor anyone else in my family will receive compensation from CAASTLC for such photograph(s) and/or videotaping. The use of all such photograph(s) and/or videotaping shall be the sole and exclusive property of CAASTLC. I affirm my agreement to all of the above terms: Name (print): ____________________________________________________________ Signature: _______________________________________________________________ Date: ___________________________________________

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