CiviCRM - Red Wiggler Care Farm

How many people are you registering? *

(including yourself)

Name, Email, and Address

First Name *

Last Name *

Email *

Company/Organization

Street Address *

City *

State *

Postal Code *

Country *

Event Fee(s)

Tickets For Your Registration *

Adult - $ 75.00

Child - $ 30.00

Radish Sponsor - $ 250.00

Kale Sponsor - includes 2 tickets - $ 500.00

Tomato Sponsor - includes 4 tickets - $ 1,000.00

Sunflower Sponsor - includes 8 tickets - $ 2,500.00

Sweet Potato Sponsor - includes 10 tickets - $ 5,000.00

Additional Donation

Total for this participant

Authorize.net (Credit Card)

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

30th Annual Harvest Celebration September 12th, 2026 4-7pm