Individual Endorsement Form

Your name*

Your email*

I give permission to share my name on the website or lists of signatures*

YesNo

I give permission to be contacted with information & opportunities connected to the Peterborough Food Charter*

YesNo

Optional: Where do you live? (e.g., City of Peterborough? Hiawatha or Curve Lake First Nation? Which township in the county of Peterborough? Other?)

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

Food in Peterborough

The development of this website is supported in part by funding from the Social Sciences and Humanities Research Council.