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Annual Report - Healing Therapy & Senior Gardening
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Club Name
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Club size
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1-29 members
30-59 members
60-99 members
100+ members
Club President's Name
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First
Last
Club President's Email
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Name of Club Chair for this Award
*
First
Last
Club Chair's Email
*
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Does your club have a Healing Therapy & Senior Gardening Program?
*
Yes
No
Is this a new Program?
*
Yes
No
Please list each Healing Therapy & Senior Gardening Program numerically making sure to include: Location, frequency of meeting, number of clients who attend, average number of club participants along with a brief description of the programs.
*
The Healing Therapy & Senior Gardening Program works with:
*
Senior Citizens
Handicapped Individuals (mentally/physically)
Dementia Patients
Hospice Patients
Other
Check all that apply.
If "Other" please describe
Do you have a club member(s) who should be recognized for outstanding work in your clubs Healing Therapy & Senior Gardening Program?
*
Yes
No
If "yes" please provide name(s) and a brief description of work performed
To apply for an individual award please complete an Individual Award Application found on the website. More information is available in the Awards Manual.
Should this program be recognized by an Award?
*
Yes
No
To apply for a Club Award please complete an Club Award Application found on the website. More information is available in the Awards Manual.
Are you interested in a workshop or round-robin with other clubs?
*
Yes
No
Do you need assistance establishing a Healing Therapy & Senior Gardening program for your club?
*
Yes
No
We will reach out to you based on the "yes" or contact gardentherapy@ctgardenclubs.org
Has your club had any speaker/program on Garden/Horticultural therapy? If you would recommend them please provide the name and contact information for the speaker and a brief description of the program.
Upload up to 6 photos
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Accepted file types: jpg, gif, png, pdf, heic, Max. file size: 256 MB, Max. files: 6.
Will the nominee or the club attend the Awards Luncheon held in October?
*
Yes
No
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Thank you very much for taking the time to provide this information. You will receive a full copy of your entries upon submission.
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