The East Bay Corners Farmers Market Power of Produce (PoP) program is designed to educate and engage children in healthy eating habits, physical activity, and the importance of fresh produce. This is a 13-week program designed for children ages 5-13. It will cover a wide range of hands-on activities during the East Bay Corners Farmers Market held at East Bay Township Hall. Participants will also complete a homework assignment each week in order to receive a $4 coupon to spend on fresh produce at the Market. The Power of Produce program will run from 4:30 PM to 5:30 PM on Thursday afternoons starting July 2 and running through September 24, 2026. This document outlines the guidelines and policies to ensure a safe, inclusive, and enriching experience for all participants. For more information about the program, the Power of Produce Guidelines can be found on the East Bay Charter Township website by clicking this link. If you would like to participate with multiple children, please fill out one application for each child.

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* 1. Parent/Gaurdian Name

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* 2. Email

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* 3. Phone

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* 4. Address

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* 5. Participant Name

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* 6. Participant T-shirt Size (Childs Size)

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* 7. Please indicate your level of experience or skill in gardening or cooking.

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* 8. What are your goals and objectives for participating in the program?

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* 9. Does the participant have any allergies? If so, please specify below.

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* 10. Please provide any additional information that is helpful for staff to know.

I agree to all of these statements by signing below. I am the parent/guardian of the participant list above. I have received a copy of the East Bay Township Food Security Incubator Power of Produce (PoP) Guidelines & Policies. I have read and understood these guidelines, and I agree to abide by them throughout my participation in the program.

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* 11. Signature

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