Tree Sanctuary Application Make Your Home a Tree Sanctuary Review the Application Information Print & Mail the Application 1. Tree Sanctuary Information Homeowner's Name Address City County Zip Code Phone Number Email Address 2. Category (check all that are appropriate) Available to PublicPrivate OnlyRestrooms AvailableADA Accessible 3. Publicity (choose one) WANT Website Acknowledgement* (web listing: Smith Tree Sanctuary, Nashville)Do NOT want name Publicized on Website (Check and skip to #4) *Can the public contact you? YesNo *If yes, email address for public to contact you: *Or enter a phone number for public to contact you: 4. # of Distinct Tree Species # of Distinct Tree Species Before creating your map or labels, please submit an EXCEL file Tree Listing (alphabetically by botanical name then common name) so that the information can be reviewed. Tree ID booklet - What Tree Is That? available for $6 - Go to TUFC Store Online resources for tree identification: http://www.arborday.org/trees/whattree/ http://dendro.cnre.vt.edu/dendrology/factsheets.cfm 5. Map and Pictures Please sketch a map of your yard. Be sure to mark all of the 10+ trees. Also capture the beauty of your tree sanctuary by taking pictures of some of your trees, labels, and other features. 6. I agree to meet the requirements of the Healthy Yard Pledge? Signature Date Fee Schedule Application Fee includes 1 Tree Sanctuary Plaque. You can buy extra plaques, if you choose. (Prices include shipping and handling.) Tree Sanctuary : $100.00 Additional Plaque + $35.00 Please mail a check payable to TUFC to TUFC Tree Sanctuary Program P.O. Box 58443 Nashville, TN 37205 Your application is not valid without our confirmation of payment. Your application has been submitted! Would you like to Pay Online instead of mailing a check?