Register for Nature in My Backyard CONTACT INFO Homeowner(s) * Today's Date (mm/dd/yyyy) * Street Address * City, ST ZIP * Phone * Email * PROPERTY INFO Residence? * YES NO Do you own the property? * YES NO Is it in a Homeowner's Association? * YES NO Approximate size of property? * Current landscape features Grass Trees Mixed GOALS In two or three sentences please tell us what you would like to accomplish on your property, and how you hope we can help you achieve your vision. Examples: Identify invasives Select site appropriate native plants Create habitat for birds and pollinators Modify your existing lawn Choose an appropriate native tree Other And finally... Your action preference: I am ready to start this certification program on my own. I would like to schedule volunteer gardeners to come to my home and consult with me. Best time(s) for a visit (if requested): Weekdays Weekday Evening Weekends Liability Waiver The Audubon Society of Greater Cleveland (ASGC) Nature In My Backyard Pilot Program is designed to provide advice on restoring backyard habitat, gardening in an ecologically responsible manner, and managing invasive plants. The property owner is responsible for complying with all applicable local, state, and federal laws and regulations and obtaining any required permits. ASGC and their volunteers accept no liability for actions taken by the property owner. The property owner agrees to hold harmless and indemnify ASGC and their volunteers from any liability, claims, lawsuits, or judgements associated with the performance of services or connected to the Nature In My Backyard Pilot Program. Please type your name and today's date to agree to the waiver. * Consent to use of photographs of yard ? * Yes No How did you learn about Nature in My Backyard? * From a garden club From Greater Cleveland Audubon newsletter From a friend From a table at a plant event From a yard sign Other If other, please specify. To show you are a human, please answer with a number. What is 13-2? * Submit If you are human, leave this field blank.
