Beltrami Community Garden Application Beltrami Community Garden Application Gardener #1(Required) First Last Email(Required) Address(Required) Street Address City State / Province / Region ZIP / Postal Code Gardener #2 First Last Email Address Street Address City State / Province / Region ZIP / Postal Code Returning Gardener(s) Please Indicate Plot PreferenceSection BreakGardener's Signature and Liability Waiver I agree to the Beltrami Community Garden Rules, Expectations and General InformationI have reviewed, and I agree to, the Beltrami Community Garden Rules, Expectations and General Information posted on the Beltrami Community Garden webpage (https://www.lnena.org/wp-content/uploads/2025/03/Beltrami-Community-Garden-Addendum.pdf). I understand that violation of these rules may result in expulsion from the garden. I understand that the Lower Northeast Neighborhoods Association and landowner are not responsible for my actions and/or the actions of my guests. I agree to hold harmless LNENA and/or the landowner for any liability, damage or loss that occurs in connection with the use of the Beltrami Community Garden. I submit this signed application and a $50 payment ($30 fee and $20 deposit) in agreement with these terms.Signature (type your full name)Garden Plot Fee Price: Total Payment MethodPayPal CheckoutCredit Card American ExpressMasterCardVisaSupported Credit Cards: American Express, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged. Δ