Garden Registration - Blank Park Zoo

Garden Registration

                

Plant.Grow.Fly. - c/o Blank Park Zoo - 7401 SW 9th St - Des Moines, IA 50315 - 515-285-4722
plantgrowfly@blankparkzoo.org - www.blankparkzoo.com

Register Your Garden
The information below will be added to the Plant.Grow.Fly. registry on www.blankparkzoo.com

* denotes a required field.
Date: *
Your Name(s): *
Garden Name ( Bee Creative!): *
Garden City, State, Zip Code: *
Garden Type: *
Garden Location: *
 
 
If Other Please Specify:  
Garden Size: *
Host & Nectar Plants

You must have at least one host plant and one nectar plant from our designated list in your garden to be registered with Plant.Grow.Fly. If you live outside the Upper Midwest, please list your plant species in the space provided below.

Host Plants: *
Check all that are present in your garden  
If Other Please List:  
Nectar Plants: *
Check all that are present in your garden  
If Other Please List:  
Other Pollinator-Friendly Practices

Please indicate which actions you have taken (or will take) to maintain your garden.

Please indicate which actions you have taken (or will take) to maintain your garden:  
Check all that apply  
If you have additional features, please list:  
Comments:  
What inspired you to create your garden?:  
How did you hear about Plant.Grow.Fly.?:  
Did another organization encourage you to register this garden? If so, please name the organization.:  
Contact Information

For Blank Park Zoo use only

Contact Name: *
Organization (if applicable):  
Address (certificate and other materials will be sent here): *
City, State/Province, Zip/Potal Code: *
Telephone (Please include your area code): *
Email Address: *
 
Copyright © 2015 Blank Park Zoo. All Rights Reserved.