Required fields are marked with asterisks (*)

Register for the FoodCycler pilot project

One hundred Dysart households are needed to participate in this pilot. Use this form to register by March 31, 2022.

Participants will be selected either by:

First come, first serve
Or, should more than 100 households request participation, through a lottery

Participants will sign a Commitment of Participation agreeing to take part in the 12-week pilot including completing all required surveys and weekly logs.

Please complete this form.

First Name

Last name

Phone number

Email address

Dysart et al address

Mailing address

How did you hear about the FoodCycler pilot project?

Newspaper article

Newspaper advertisement

Radio announcement

Social media (Facebook, Instagram, etc.)

Dysart's website www.dysartetal.ca

Landfills (attendants, flyers, signage)

I agree to purchase the FoodCycler from the Municipality of Dysart et al for $169.50 ($150.00 plus $19.50 HST) if I am selected to participate in the pilot project.

Yes

I agree to take part in the 12-week pilot including completing all required online surveys and online weekly logs.

Yes

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Register for the FoodCycler pilot project