Residential host application

BeeSpace, LLC · Program: Residential Host Application (Single Hive)

Use this form to apply to host one hive at your home under the BeeSpace pilot. Fields marked with are required.

General questions? Use the contact form instead.

1. Applicant information Full name * Co-applicant name (optional) Email * Mobile *

Preferred contact method *

Email Phone Text

Property address * Mailing address (optional, if different)

4. Health and safety screening

Any household member with a known severe bee sting allergy? *

Yes No

Any immediate neighbor with a known severe allergy (if known)?

Yes No Unknown

Emergency contact name * Emergency contact phone * Preferred emergency access instructions *

6. Applicant acknowledgments

Please check each box *

I understand this is an application only and does not guarantee acceptance or installation.
I understand BeeSpace currently supports placement of one hive only at this property under this program.
I understand local law, HOA rules, landlord permissions, and other approvals may be required before hosting.
I understand bees may sting, and natural hive behavior may include increased bee activity or swarming events.
I agree to follow BeeSpace and the assigned beekeeper safety instructions.
I consent to BeeSpace sharing this application with participating local beekeepers and partners for evaluation and coordination.
I certify that the information provided is accurate to the best of my knowledge.

7. Electronic signature

Type your full legal name and today’s date below. This serves as your electronic signature.

Applicant — type full legal name * Applicant signature date * Co-applicant — type full legal name (optional) Co-applicant signature date (optional)