Food Connection Form

Name

Name of Farm

Address

City

Zip

County

Phone

Website

Certified Organic

yes no

Certifier

Oklahoma Dept. of Ag Other (please name)

Are you an uncertified organic farm?

yes no

If so, are you in the process of becoming certified by ODAFF?

yes no

Do you sell at a farmers' market? If so, which one?

Please check all categories of food that you produce:

Fruits Vegetables Grain Nuts Meat

Fish Egg Dairy Honey

Please check the specific crops that you are growing this year or typically grow:

Apples
Arugula
Asparagus
Beans
Beef
Beets
Blackberries
Blueberries
Broccoli
Brussels sprouts
Buffalo
Cabbage
Carrots
Cantaloupe/Honeydew
Cauliflower
Chard
Cheese
Cherries
Corn
Chicken
Chicken eggs
Chuckar partridge
Cream/Butter
Cucumbers
Duck
Eggplant
Elk
Emu
Fish
Garlic
Geese
Goat
Goat milk
Goat cheese
Gourds
Granola
Grapes
Green beans
Greens
Herbs
Honey
Jams/jellies
Kiwi
Kohlrabi

Lamb
Lettuce
Milk
Mushrooms
Nectarines
Oats
Okra
Onions
Peaches
Peanuts
Pears
Peas
Pecans
Pheasant
Plums
Peppers, hot
Peppers, bell
Pork
Potatoes
Pumpkins
Quail
Quail eggs
Radishes
Raspberries
Rutabagas
Rye
Salsa
Soybeans
Spinach
Squash
Strawberries
Tomatoes
Turkey
Turnips
Venison
Watermelon
Wheat and products made from wheat
Yogurt/Kefir
Zucchini
Other:

Have you ever sold to schools or institutions? If so, please name:

Would you be interested in learning more about selling to schools and other institutions?
(If so, we will put you on a mailing list to notify you about any upcoming farm-to-school workshops and/or publications)

Yes No

Yes, I would be interested in:
Hosting a tour of my farm by school classes
Visiting a school to speak to kids about my farm
(Teachers would contact you in advance to arrange a tour or visit)