Property Owner or Organization
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Title: |
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* First Name: |
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*Last Name: |
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* Address: |
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* City: |
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* Province or Territory: |
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* Postal Code: |
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(no spaces) |
Website address: |
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* E-mail: |
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Name of School/Park/Other: |
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* Name(s) to appear on certificate:
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Mailing Address if different from above
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Mailing Address: |
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City: |
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Province or Territory: |
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Postal Code: |
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(no spaces) |
Telephone: |
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Contact Person (if different from above)
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Title: |
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Contact First Name: |
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Last Name: |
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Telephone: |
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E-mail: |
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Property Description
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* Approximate size of property: |
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sq. ft. /patio |
Check off the best description(s) of your property location:
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Urban Suburban Rural |
Features
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Additional Information
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Meeting the needs of wildlife
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Check off the applicable response and give further information where indicated.
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My garden provides wildlife with:
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Food: * Tell us how you provide food below. List native plants first using common or scientific names:
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Flowering plants (for nectar and pollen) Examples: willow, hawthorn, bee balm, columbine, basil or thyme left to flower: |
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Fruit and berry producing plants. Examples: nannyberry, wild roses, mountain ash, raspberries: |
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Nut or seed producing plants (left on the plant) Examples: cedars, oaks, Echinacea and other perennials that you let go to seed etc.: |
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Supplemental Feeders (types): |
Water: * Tell us how you provide water by selecting any and all that apply:
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Recirculating stream |
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Pond with sloped sides and/or perches for wildlife |
Other (please specify): |
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Bird-bath |
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Shelter: * Tell us how you provide shelter by selecting any and all that apply: |
Evergreen trees or shrubs |
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Deciduous trees or shrubs |
"wild" area of tall grass |
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Bat house |
Brush piles |
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Rock piles |
Snag (standing dead tree) |
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Nesting boxes |
Logs |
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* My garden is safe for wildlife because: |
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Tell us how you ensure your garden is earth-friendly space by selecting any and all that apply: |
use a rain barrel |
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water my lawn no more than once per week if necessary |
use natural soil amendments (such as compost or well-aged manure) |
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have my own composter |
leave grass clippings on my lawn |
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use fall leaves to mulch beds or as compost |
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Animal List
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* Here are some wildlife species that have visited my property:
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Photos
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Please include photographs of key feautures A sketch (optional) of your garden indicating the general layout. |
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Photography credits should be given to:
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If you wish to share more information (wildlife visitors, plant lists, stories, and more photos) please do so on social media platform using #cwfgardens
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Authorization
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CWF occasionally features outstanding projects and quotes in our Canadian Wildlife magazine, Bulletin newsletter, other promotional material and/or on our websites. |
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* I authorize CWF to use the information, quotes and photographs provided in the above-mentioned resources. Please note: Photographs cannot be returned. |
How did you hear about our Certification Program?
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Confirmation
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* I confirm that the information contained in this application is true and accurate to the best of my knowledge.
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