Scraps for Eggs Participation Request

Thank you for your interest in the Scraps for Eggs Program. Scraps for Eggs helps to teach children about recycling, while providing a wider range of food for our poultry.

To apply, please fill out the form below. Before submitting, you will need to review the Agreement Terms. Once you have been accepted, we will contact you to pick up the provided bucket. When you are no longer participating in the program, the bucket must be returned to Happy Wife Acres.

Name *

First

Last

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State

How Many People in Your Household? *

Families of less than 3 might not be approved without an explanation in the “Other information” box below.

Other information you want us to know

Terms of Agreement *

I have read and agree to the Scraps for Eggs Terms of Agreement.

Terms of Agreement can be found at bit.ly/3HM6GhN