Event Registration

First Name: Last Name: Number of Attendees: Email: Address: City: Zip: - Zip Suffix Day Phone: Please review the Certification Criteria and indicate which level you want to achieve. Please provide a short description of your property and your goals. What additional information will be helpful to the Habitat Patch Adviser? Would you like to discuss water management? Yes No Would you like to discuss your ideas for creating a more wildlife friendly home? Yes No Do you want help identifying invasive species on your property and developing a management plan? Yes No Do you have questions or want advice about pesticide reduction? Yes No Would you like to discuss your plan for meeting the Learn, Advocate and Volunteer criteria? Yes No Would you like to discuss your ideas for adding layers of native plants to your property? Yes No Do you have a dog or other pets that could be in your yard during the visit? Yes No Tell us what days of the week and time of day you would like your visit. Do you think you currently qualify for Silver, Gold or Patio certification?