Adopt a Patch Declaration of Interest

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To ensure a safe and successful experience, participating groups agree to:

-Bring engaged, respectful participants ready to contribute

-Provide appropriate supervision for youth volunteers

-Ensure all participants have signed waivers

-Follow all site guidelines and safety rules

-Communicate scheduled restoration days (or notify us in advance if plans change)

All members of the stewardship team must follow safety guidelines. Members will be asked to leave the site if these guidelines are not adhered to.

First Name *

Last Name *

Email *

Phone Number *

This phone number may be used for last minute updates to restoration plans or to notify you of safety concerns on site.

Submitting for a group

Group Name *

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

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Group Type *

Corporate Team

School Group

Community Group

Other: Please describe in comments section

Group Size *

The number of participants in your group

Age Range *

Please provide the age range of your group's participants. This is especially important for youth groups under 18.

Group Limitations

Does your group have members with physical or mental limitations that may effect safety or ability to participate? If so, please note here and/or discuss with us in person.

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I certify that I have read the program expectations and understand that I am responsible for ensuring that my group follows these guidelines while on site. *

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Adopt a Patch Interest Form

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We acknowledge the lək ̓ʷəŋən-speaking Peoples (Songhees and Esquimalt/Kosapsum) on whose territory the Nature Sanctuary stands, and the lək ̓ʷəŋən-speaking and W̱SÁNEĆ Peoples — including the W̱JOȽEȽP (Tsartlip), BOḰEĆEN (Pauquachin), SȾÁUTW̱ (Tsawout), W̱SIḴEM (Tseycum) and MÁLEXEȽ (Malahat) — whose historical relationships with the land continue to this day.

We respect the vital relationships of First Peoples with these lands and waters for countless generations. We are honoured to receive Indigenous guidance and welcome collaboration in stewardship and appreciation of the Nature Sanctuary.