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The Registry of Nature Habitats
PO Box 321
Meridale, NY 13806

Copyright 1999 - All Rights Reserved

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Registry of Nature Habitats Certification Application

Please answer all questions.  Your admitance into the registry will be determined by the overall habitat of your property.  Once the application is completed, you will need to send us via email or post office, pictures of your property.  These pictures need to contain the structural and plant components of your property you checked or listed in this application.  If you wish to have these pictures returned, send a stamped return address envelope with them.  It is very important to be very specific with your general view on nature and the enviroment.   If your property is admitted, you will be listed in the database.  Each property admitted into the registry will have a webpage displaying the pictures and information provided below.

  First Name   Last Name
  County   Mailing Address
  Street Address   City
  State   Zip
  E-mail   Phone
  Fax

  Property Size
( Sq. Ft. or acres)

List Deciduous Trees  List Conifers
   
List Flowering Trees List Shrubs
   
List Perennials List Native Wildflowers, Ferns, Woodland Plants, Etc...
   

Check all natural feed sources found on your property.

  Nuts
  Berries
  Seeds
  Fruits
  Nectar
  Foliage
  Pollen
                

Check all the water sources found on your property.

  Pond
  Stream/River
  Wetlands
  Coastal/Sea Shore
  Lake or Lake Front
  natural Springs
  Bird Baths               

Check all natural cover locations for birds and animals.

  Wooded Areas
  Thick Ground Covers
  Brush Piles
  Rock Walls
  Dense Shrubs/Thickets
  Evergreens
  Bramble Patch
  Meadows/Prairie or Scrub
  Wood or Log Piles
            

Check all nesting locations for birds and animals.

  Mature Trees
  Dense Shrubs
  Scrub
  Dead Trees/Trees with Cavities

Do you provide:

  Nest Boxes for Birds
  Butterfly Houses
  Bee Hives/Housing
  Bat Houses
                       

Check the seeds/food you provide.

  Sunflower Seeds
  Millet
  Corn (Cracked or Whole)
  Thistle
  Safflower
  Suet
  Fruit
  Peanuts
  Sugar Water  (Hummingbirds & Orioles)

List Others Below:
       

What type of feeders do you provide.

  Hoppers
  Tube
  Cage
  Hummingbird/Oriole
  Suet
  Tray
  Window
  Squirrel/Chipmunk
  Insect

List Others Below:
       

List Birds seen on your Property.

  Blackbirds/Grackles/Crows   
  Sparrows
  Titmouse/Cardinals/Chickadee
  Finches
  Woodpeckers/Nuthatch
  Warblers
  Hummingbirds
  Orioles
  Turkey/Grouse/Pheasant/Quail
  Seagulls/Terns
  Ducks/Geese/Swans
  Hawks/Eagles

List specific birds below:
        

List Mammals seen on your property.

  Chipmunks
  Gray Squirrel
  Red Squirrel
  Oppossum
  Raccoon
  Mink
  Otter
  Beaver
  Muskrat
  Mice/Moles/Voles
  Groundhog
  Deer
  Bear
  Coyote

List other mammals below:
        

List Fish found on your property.

  Trout
  Bass
  Salmon
  Carp
  Perch
 
List other fish below:
       

List Reptiles found on your property.

  Snakes
  Turtles
  Lizards
  Alligator

List other reptiles below:
       

List Amphibians found on your property.

  Frogs
  Toads
  Salamanders

List other amphibians below:
       

List Insects/Invertebrates found on your property.

  Bees/Wasps
  Spiders
  Lady Bugs/Lacewing
  Damselflies
  Butterflies/Moths

List other insects/invertebrates below:
       

Do you use any of the following non-organic chemicals?

  Fertilizers
  Insect Sprays
  Weed Killers
  Fungicides           

Do you use any of the following organic chemicals?

  Fertilizers
  Insect Sprays
  Weed Killers
  Fungicides
            

Please describe your general view on nature and the enviroment.

 





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    The Registry of Nature Habitats
    PO Box 321
    Meridale, NY 13806
    Copyright 1999 - All Rights Reserved

    Last Updated: