Contact Information

1. Your Name
2. Group or Organization (if any)
3. Street Address
4. City
5. Province
6. Postal Code
7. Home Phone
8. E-mail

Street Garden Information

1. Street Garden Location Traffic Circle Corner Bulge*
2. *If a Corner Bulge, specify corner (NE, NW, SE, SW)
3. Are there existing plants in the street garden? Yes No
4. Is this a newly constructed circle or bulge with no plants? Yes No

Disclaimer

1. Box must be checked

   I HAVE READ THE DISCLAIMER AND THE GREEN STREETS GARDENING GUIDELINES AND I UNDERSTAND THE POTENTIAL RISKS INVOLVED WITH GARDENING IN OR NEAR THE STREET

Please be aware that gardening in or near the street requires a level of safety awareness not encountered in your home garden. Extreme care should be taken at all times to make yourself visible to traffic. Please read the Gardening Guidelines.

The garden sponsor releases the City of Vancouver, its officers, servants and agents from and agrees to indemnify and save harmless the City, its officers, servants and agents from all liability relating to or arising from the use and occupation of the property or any breach, violation, non-performance or non-observance by the garden sponsor of any condition, covenant, term or proviso set out herewith.