First Nations & Municipalities Endorsement Form

Web Form Alternative

If you are unable to complete the web form, you can download the endorsement form as a word document instead. By clicking the link below, the form will automatically start downloading. Once completed, you can send your copy of the endorsement form to the e-mail address on our contact us page.

Download the First Nations and Municipal Endorsement Form as a word document.

Endorsement Form Instructions

Below these instructions you will find four input boxes where you can enter the name and e-mail you are signing on behalf of, and optionally, your reason for signing the charter.
Upon filling out these text fields, you will then have access to all of the statements below, which are auto populated with the name you entered. There are then several checkboxes which you can check, in order to submit the form. Only one of the checkboxes is required, and it is marked with a *, as well as the word: required.

Please enter the name.

Please enter your e-mail.

Optional: Inspire others by sharing your reason for signing the Peterborough Food Charter:

I give permission to share my reason on the website (if applicable)

YesNo

A food system includes all of the activities related to how food is produced, processed, distributed, accessed, consumed and disposed of.

Food charters are used to highlight collective food-related goals and values of community members, organizations and/or municipalities within a region.

I confirm this statement is correct _______ recognizes the important role local organizations have in shaping a local food system through raising awareness and understanding of the importance of a local food system and influencing policy.

I confirm this statement is correct _______ believes the Peterborough Food Charter will guide the work related to a local food system resulting in healthy, sustainable and just food for all.

I confirm this statement is correct _______ values the pillars of health, social justice, culture and community, education, economic sustainability and the environment as outlined in the Peterborough Food Charter.

I confirm this statement is correct that _______ endorses the Peterborough Food Charter. - REQUIRED.

I confirm this statement is correct that _______ will support efforts related to creating public policies and supportive environments that promote a healthy, sustainable food system within the region.

I agree that correspondence for this endorsement be shared with other organizations in the City and County of Peterborough to encourage support for the Peterborough Food Charter.