Backyard Habitat Form

Backyard Habitat

Contact Information

Name *

Date *

Phone Number *

Email Address *

Address *

City, Zip Code *

About your Site

Dimensions of Habitat/Garden *

I hereby give permission of Stark Parks and its related agencies (Friends of Stark Parks and Your Stark Parks) to use photographs or videos taken by me for promotional purposes in media, including but not limited to, web site, social media sites, brochures, published advertisements, or promotional items. I understand these photos or video and information may also be shared with outside medias such as newspapers and television outlets.

I agree

Upload Your Photo
Choose File

Maximum upload size: 2MB

Having trouble uploading an image? You can also email to Samantha at sreilly"at"starkparks.com

Habitat Elements

In order to be certified, your habitat must display the 4 main elements: food, water, shelter and a place to raise young. Tell us about your habitat and the different plants/structures you used to invite the native wildlife back into your yard.

Food (Need 3 different plants): *

Water (Need 1 source): *

Shelter (Need 2 structures): *

Places to Raise Young (Need 2 places): *

Describe, in detail, the sustainable practices you use to manage your garden (removal of non-native plants, rain barrel, composting, etc.) *

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