Headwaters Farm Fresh Form

Farm or business name:*

Categories*

Please select all that apply to your operation. Farm gate (e.g., a stand at the farm gate). On-farm store (e.g., an on-farm dedicated retail space). Agri-entertainment and agri-tourism involve attracting visitors to a working farm for unique experiences such as education, retail, dining, pick-you-own activities, or other farm-based events.

Street address*

Municipality*

Postal Code*

Location (e.g., township, village or town, such as Amaranth or Inglewood. May be different from your postal address)*

Name of owner(s)*

Phone*

Website or social media links

Email*

Photo - please include an image or your logo

Accepted file types: jpg, jpeg, png, gif.

600px wide × 500px high

Photo - please include an image to go across the top of the page

Accepted file types: jpg, jpeg, png, gif.

1600px wide × 360px high Or supply a wide, horizontal image and we'll crop it

Farmers Markets

Please check which farmers market you participate in.

Creemore Farmers Market
Erin Farmers Market
Grand Valley Farmers Market
Orangeville Summer Farmers Market
Orangeville Winter Farmers Market

Also available at:

Please list any retail locations in the Headwaters region.

Farm products and goods*

Please list (e.g., beef, honey, strawberries, asparagus, corn, seasonal vegetables, baking, preserves, eggs) Maximum of 105 characters, including commas and spaces.

Hidden

Kitchen open late

Yes
No

Hidden

Vegetarian Options

Yes
No

Hidden

Private/bookable room

Yes
No

Hidden

Take out

Yes
No

Hidden

Delivery

Yes
No

Hidden

Catering

Yes
No

Hidden

WIFI

Yes
No

Hours*

Regular hours, e.g., Wed-Sat 10-8, Sun 10-5. If seasonal, include months. Or, if applicable, indicate by appointment only.

How to order, pickup and delivery options

You may also wish to indicate the following ordering, pickup and delivery options.

Phone order
Pickup
Delivery

Plot us on the map*

Please include our location on the Farm Fresh print map and on the map in our online listing – and the Explore Dufferin map, if relevant.

Yes please
No thank you

Is your business majority-owned and/or operated by individuals from a visible minority group?*

Yes
No

Contact Information

The following information will NOT be published. It is required in case we need to follow up with you. Thank you from Headwaters Food & Farming Alliance (HFFA), In The Hills magazine and Dufferin County.

Name*

First Last

Phone*

Email*

Enter Email Confirm Email

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