Skip to Main Content

 

Classroom Worm Bin Request Form

Thank you for your interest! If you'd like to receive a free worm bin for your classroom, please fill out this form. Please note that a classroom presentation is required. During the presentation, we will go over how to care for and maintain your worm bin.

Name(*)

Invalid Input

Email(*)

Invalid Input

Phone Number

Invalid Input

School Name(*)

Invalid Input

Grade Level(*)

Invalid Input

Position or Title

Invalid Input

Please list the best dates and time(s) for your worm bin presentation.(*)

Invalid Input

Harvesting the vermicompost usually takes place 6 months after you received your bin. Would you like assistance with harvesting?(*)

YesNo Invalid Input

What is your plan to take care of this bin during the summer months and other school breaks?(*)

Invalid Input

How did you hear about the worm bin presentation and offer?(*)

Invalid Input

Captcha(*)

Invalid Input

Submit

© 2024 Clark County Public Health. Solid waste regional planning and programs are a cooperative effort of Battle Ground, Camas, Clark County, La Center, Ridgefield, Vancouver, Washougal, and Yacolt.

Website created by Formations Design Group, LLC