2006 Bio-Blitz Registration Form

Sparta Mtn. Bio-Blitz, June 3rd Sponsored by NJ Fish & Wildlife

Name:______

Address:______

______

Phone #:______

E-mail:______

Taxa interested in surveying: (please place an 'X' next to the taxa you are interested in surveying and circle your skill level)

Herps______(novice, intermediate, expert) Birds______(novice, intermediate, expert) Plants______(novice, intermediate, expert) Aquatic Inverts______(novice, intermediate, expert) Terrestrial Inverts______(novice, intermediate, expert) Mammals______(novice, intermediate, expert)

We will need group leaders out in the field during the BioBlitz to help coordinate the surveys and volunteers for each taxonomic group.

Are you willing to be a group leader?______For which Taxa?______

Are you a current NJ Fish & Wildlife volunteer?______

If yes, for which project?______

Are you a certified WCC member?______

Please send to:

Brian Zarate New Jersey Division of Fish and Wildlife Endangered and Nongame Species Program 143 Van Syckels Road Hampton, NJ 08827 908 735 4249 [email protected]