Mentee Information form – Wild Ones St. Louis

- Step 1 of 3

You must be an active St. Louis Chapter member to participate in the Mentor program

Name *

First

Last

How long have you been a member of Wild Ones St. Louis Chapter? *

NOTE: If you are seeking a mentorship about a garden that is not at your home, please give the address of the garden

Address (for matching mentors and mentees) *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Are you okay with the other mentees in your group having your email address? *

What are you hoping to gain through this mentorship? *

Please describe the property you are or are hoping to garden. Include things such as (approximately) size, percentage of sun and shade, wet and dry, type(s) of soil, percentage of plants that are native, age of plantings, etc.: *

Please list any particular questions or challenges you’re seeking to address in your garden: *

If none please enter "N/A"

Please list any other goals you have for your garden, with timelines if applicable: *

If none, please enter "N/A"

Please list anything else you feel it would be helpful to share:

Your gardening information will be shared with your mentor. It could also be helpful for mentees in the same group to know about each other’s situations. If you are assigned to a mentorship group, may we share your answers to the gardening questions with your fellow mentees? *

Please check areas where you are looking for assistance

Dry conditions *

Rain Gardens *

Shade Gardening *

Native edibles *

Water garden or pond *

Gardening with pets *

Growing plants from seed *

Liability and Waiver *

I ACKNOWLEDGE THAT I HAVE CAREFULLY AND COMPLETELY READ AND UNDERSTAND THE TERMS CONTAINED IN THIS RELEASE. *

Liability and Waiver

Visiting members’ gardens may include wet or slippery surfaces, steps, or other trip hazards and other situations that the hosts have attempted to minimize and/or call to your attention. Your participation in the Wild Ones St. Louis Chapter mentorship program recognizes the minor, but real, risk of these and other potential situations, and by agreeing to participate in the mentorship program you agree to the following:

I agree to hold harmless and indemnify Wild Ones St. Louis Chapter and all garden hosts in my mentorship group from any and all liability, actions, causes of actions, claims, demands for suits whatsoever resulting from or arising out of personal injuries, loss of, or damage to property, or involving any impairment of, or damage to any right because of or in any way related to the parties above resulting from my participation in the Wild Ones St. Louis Chapter mentorship program, excepting claims arising out of willful misconduct or gross negligence.