Guardian Application
All fields marked with a (*) are required

Type of applicant:

Individual:[] Family:[] Organization:[]

Contact:
Contact name:*_____________ Occupation:_______________________

Mailing address:
Street: *_______________ City: *_______________
State: * _______________ Zip: * __________

Email:_______________ Phone:_____________

How did you hear about the Adopt a Crested Saguaro Program?
________________________________________________________

Geographical area of interest (check all that apply)

Cochise Co:[]Gila Co:[]Graham Co:[]Maricopa Co:[]
Mohave Co:[]Pima Co:[]Pinal Co:[]Yavapai Co:[]
Yuma Co:[]Other:_____

To access your adopted crested saguaro are you willing and able to drive one-way:

Up to 20 miles:[]Up to 50 miles:[]100 miles or more:[]

Then hike one-way:

No drive only:[]Up to one half mile:[]Up to 2 miles:[]5 miles or more:[]

Not required, but useful, do you own:

Digital camera:[]GPS device:[]

Applicant signature:___________________ Date: *_____________

Mail to: Harry Ford, P.O. Box 8250, Tucson, Arizona 85738-0250 or
(prefered) Copy this form and send to: