golden gardens registration form - wild about gardening

Registration Form

Please register your project, whether or not you are applying for funds. The best of both individual and group projects will be featured at our Web site and in our magazines Canadian Wildlife and Biosphère. Registered groups participating in 1999 will receive a plaque commemorating the International Year of Older Persons (IYOP) signed by Governor General Roméo LeBlanc.

Name of individual (primary contact, in the case of an organization):

Name of organization (if applicable):

Number and street:

City: Province/Territory: Postal code:

Telephone: ( )

Fax: ( )

E-mail:

I am/We are: applying for funds registering only

Number of participants:

Names of partners (including local schools or youth groups):

Project description (attach additional sheets to this form if more space is needed):

a) Briefly describe your project, its goals, and who will be involved.

b) Briefly describe how your project will improve habitat and how wildlife will benefit.

c) Describe how seniors will be involved in the project.

Check off the applicable response and give further information where indicated.

Our garden will provide:

Food for wildlife through

fruit-bearing shrubs and trees, e.g.:

perennial flowers for hummingbirds and/or butterflies e.g.:

wildflower meadow feeders other (please specify):

Water for wildlife through

patio pool garden pond bird-bath other (please specify):

Shelter for wildlife through

trees shrubs brush piles nesting boxes other (please specify):

Check off the best description(s) of your project location:

private property, rented or owned seniors' centre or residence nature trail

other community property (school, hospital, park, etc.)

shoreline urban rural

Request for Funds

Although we can only fund organized group projects, we would like to consider all IYOP projects when we choose ones to feature at our Web site and in our magazines, Canadian Wildlife and Biosphère. Please send photos, slides, and/or a written description to the address below.

Organized groups can apply for up to $100 for shrubs, trees, and plants (please specify types and numbers needed), soil, lumber, garbage bags, gardening gloves, hardware, and rental equipment. Groups that raise a comparable amount within their communities can apply for up to $500.

We do not provide funding for decorative items (e.g., benches and gazebos), labour, vegetable gardens, pesticides, fertilizers, bird seed, clothing, or hand tools (e.g., rakes, hoes, and shovels).

Please supply a full budget for your project.

Item details

Unit price

Quantity

Cost

Total cost

Total funds requested

If you are applying for more than $100, you must have matching funds. Please indicate where other project funds will come from and in what amount(s).

Donor(s)	Amount(s)

If your request is approved, you agree to provide CWF with photos, slides, and/or a written description of your completed project. You also agree that all funds will be applied to the project described.

Signed:	Name (please print):
Position:	Date:

Please return this form to:

Golden Gardens
350 Michael Cowpland Drive
Kanata, Ontario K2M 2W1
Phone: 1-800-563-WILD (9453)
(613) 599-9594 (Ottawa area)
Fax: (613) 599-4428
E-mail: info@cwf-fcf.org
Web site: www.cwf-fcf.org

Item details	Unit price	Quantity	Cost








		Total cost
		Total funds requested