Faith Community Mini Bird Sanctuary Application
See Program description here: https://www.plantnovanatives.org/faith-communities
Free mini bird sanctuary to the first 20 Fairfax faith communities to apply
Your Name
First Name
Last Name
Your Email
We will communicate with you via email.
Your Mobile Phone
Please enter a valid phone number.
Name of Your Faith Community
Mailing Address for your Community's Office
What is your role with this Community?
What is the name of the volunteer who visited with your Community?
First Name
Last Name
Date of the Volunteer's Visit
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Month
-
Day
Year
Date
The Free Mini Bird Sanctuary offer includes 1 canopy tree, 2 shrubs, mulch, and a sign. Choose one tree species:
Blackgum (Nyssa sylvatica)
Swamp White Oak (Quercus bicolor)
Choose one shrub species (you will receive 2 of the same species):
Arrowood Viburnum (Viburnum dentatum)
Black Chokeberry (Aronia melanocarpa)
Please describe where on the property our volunteers should drop off the plants, mulch, and sign? *The drop-off area needs to be in the shade to protect bare root shrubs, and in a location where the volunteer can park their car.
I understand that to be considered for the free Mini Bird Sanctuary we
Must have completed our free site visit
Agree to follow the Mini Bird Sanctuary guidelines for site preparation, planting, and maintenance.
Will submit before, during and after digital photos of the project area
Please verify that you are human
*
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