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2. First and Last Name*
4. Full Mailing Address*
   Must be a Hampton address.
6. Email Address*
8. Please upload a photo of your pollinator garden.
10. Criteria for Pollinator Garden Certification
12. 1. Provide a list of food plants I have planted for pollinators including a minimum of 3 to 5 different locally native pollinator plants. Some common native plants are: Aster, Black-eyed Susan, Butterfly Weed, Cardinal Flower, Dwarf Iris, Fennel, Goldenrod, Hyssop, Joe Pye Weed, Marigold, Milkweed, Mountain Mint, Parsley, Purple Cone Flower, and Yarrow. For a more complete listing go to: https://scholarworks.wm.edu/reports/68/ and click on Native Plants for Southeast Virginia including Hampton Roads.
14. I commit to:

    1. Yes

    1. No
16. 2. Provide shelter for native pollinators. Some native species nest in stems and in the ground over winter. Some ways to insure nesting sites are insect houses, twig bundles, brush shelters and piles of leaves. Delay garden clean-up until spring and wait to mulch until warm weather.
18. I commit to:

    1. Yes

    1. No
20. 3. Provide a source of water such as birdbaths or shallow trays filled with marbles, rocks or sea glass and water.
22. I commit to:

    1. Yes

    1. No
24. 4. Safeguard pollinator habitat by reducing chemical pesticide and herbicide use. Companion planting is a no hassle pest management system. For information on companion planting and brand named chemical pesticides and herbicides to avoid go to: http://www.heirloom-organics.com/guide/companionplanting.html https://oregonsustainablebeekeepers.org/2013/03/27/im-getting-rid-of-imidacloprid-avoiding-the-worst-neonicotinoid-insecticides/ and https://wasba.org/it-is-pesticide-season-neonicotinoid-list Additionally, the Bee City USA-Hampton team has entomologists, Master Gardeners, and Master Naturalists who can help with insect identification and control.
26. I commit to:

    1. Yes

    1. No
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28. 1. Receive an email copy of this form.
29. Email address

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