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Chicken Coop Application Form

NOTE: Chicken coops through NJCD are designated for families in Independence, MO. Some exceptions may be considered.

First name*

Last name

Email*

Phone

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Tell us why you want chickens!

Please check to agree*

We won't sell extra eggs.

We will share extra eggs with neighbors and friends .

We will give our coop to another family if we decide not to keep chickens in the future.

We are financially able to feed our chickens.

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