busybees

Busy Bees Application 2026 - Grades 3K-4th grade

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Student 1 *

First

Last

Grade (Fall) *

Age *

Student 2 *

First

Last

Grade (Fall) *

Age *

Student 3 *

First

Last

Grade (Fall) *

Age *

Student 4 *

First

Last

Grade (Fall) *

Age *

Name of Parent/Guardian *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact *

First

Last

Emergency Phone Number *

Please list any names of people who may be designated by you as a responsible person for your child for the activities (i.e. grandparents, sitters, neighbors, friends) *

Please List Any Student Allergies: *

Please List Any Needed Accommodations: *

Photos, videos, interviews and recordings will be taking place throughout the summer and may be posted on the Gardens web page and/or Facebook page. Children will NOT be identified. If you do NOT want your child/ren’s picture taken or posted please check this box. *

I do NOT want my child/ren's picture taken/posted.

Busy Bees Garden Club Rules: Please discuss these rules with your Busy Bee gardener in a developmentally appropriate way to help us have a fun and safe time at the garden. All children must be accompanied by a responsible caregiver at all times. Busy Bees participants and their guardians must stay within designated areas. Do not enter any garden plots unless invited by the plot gardener. Each child is responsible for their individual plants within the garden. Please do not touch other childrens’ plants. Put all equipment away. Turn off all water spigots. Help keep the garden clean. Don’t litter. Pull weeds in your plot as needed. Plants should not be covering pathways. Trellises are provided, but plants grow. If needed, plants should be pruned or tied up to avoid obstructing pathways. Children should not go in either shed without an adult present. *

I agree to adhere to and have discussed the Busy Bees Garden Club rules with my child/ren

Liability Waiver, Release, Indemnification and Acknowledgements
Awareness of Risk: The gardener understands that participating in the garden has a risk of injury, damage to personal property or death.
Assumption of Risk and Waiver and Release of Claims: The gardener agrees to assume the risk of harm even if the potential harm is caused by someone else. The gardener also agrees to waive any right to sue or attempt to collect money from the landowner, sponsor, their board members, employees, volunteers, or anyone acting on their behalf for any losses or damages resulting from death, injury, or property damage to the gardener, anyone else, or any property, that occurs while the gardener is in the garden.\
Medical Care Waiver: The gardener gives up any right to sue or otherwise attempt to collect money from the aforementioned parties arising out of any first aid, treatment, or medical service, including the lack of such or timing of such, given in connection with participation in the garden. The gardener is not covered by or eligible for any insurance, health care, workers’ compensation, or any other benefits maintained by sponsor or landowner.
Indemnification: The gardener is responsible for any damages or losses suffered by the sponsor or landowner that are caused by the gardener.
Signing of this agreement constitutes acceptance of the terms and conditions outlined by the RVACG and the Village of Spring Green.

Electronic Signature *

Date *

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There is a $10 fee per child or $15 per family.
Funds are used to replenish the soil in the raised beds, repair the beds, purchase garden tools, seeds and seedlings for the students, and supplies for the learning activities. If this is a financial hardship, please let us know.
Payment is accepted below or checks can be mailed to:
River Valley Area Community Gardens
P.O. Box 611
Spring Green, WI 53588

Click Here for Payment

River Valley Area Community GardensBusy Bees Garden Club

Busy Bees Application 2026 - Grades 3K-4th grade

River Valley Area Community Gardens
Busy Bees Garden Club