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2010 FGCM BLUEBIRD TRAIL APPLICATION

Revised 11/99

PRINT APPLICANT'S NAME _______________________________ Date ___________

ADDRESS _____________________________________________________________

PHONE ______________________ EMAIL___________________________________

MEMBER OF __________________________Garden Club District ________________

THE REQUIREMENTS FOR A BLUEBIRD TRAIL ARE A MINIMUM OF FOUR
BOXES PLACED 300 FEET APART SITUATED ON POSTS, NOT ON TREES

NUMBER OF BLUEBIRD BOXES: _________

LOCATION AND SIZE OF TRAIL: TYPE OF POSTS

INSTALLATION:  Are boxes facing away from prevailing winds?
                                Facing North or East to avoid direct midday sun? ____________
                                Is opening of box at eye level? __________________

MONITORING SCHEDULE: Were boxes cleaned in February? ____________
      Are boxes checked once a week to keep sparrows from using? _________
            Do not monitor when nestlings are 12 days old or older.

Club President and Birds Chairman MUST inspect Bluebird Trail. 

We have inspected this Bluebird Trail and recommend it for certification.

CLUB PRESIDENT (Sig.) _______________________________

CLUB BIRD CHAIRMAN (Sig.) ________________________________

CHAIRMAN'S ADDRESS __________________________ PHONE# ___________

                  CLEARLY PRINT IN ALL CAPITALS

NAME(S) ______________________________________________________________ 
                  (As it or they should appear on the certificate)

DATE OF DEDICATION __________________ BY WHOM _________________________

To receive Certification at the District Fall Meeting MAIL TO YOUR DISTRICT BIRD CHAIRMAN
NO LATER THAN JULY 1ST District Chairman must send to State Chairman by July 15th

Revised 6-16-09