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* 1. Name, address and / or postcode:

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* 2. Email and / or phone number:

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* 3. How would you like to see the grass area at the square utilised?

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* 4. Are you an experienced or novice gardener?

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* 5. Do you have any particular skills that would be useful in setting up a community garden?

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* 6. Would you be interested in being part of a garden committee if one was created?

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* 7. Would you like to volunteer to maintain the area?

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* 8. What is your availability? (please tick all that apply)

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* 9. What would you like to learn from a garden in Mosspark Square?

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* 10. Do you have any other comments, questions, or concerns?

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