Reel Kids Event Form

For TPWD Use Only: Class ID #:______

Include on LBB Report Include on Fed Aid Report

FISHING OR AQUATIC EDUCATION OUTREACH EVENT

Event Date(s): Event Name: ______Event Type: Angler Ed Outreach Fly Fishing Outreach Go Fish State Park Event TMF Trailer Event Event Description (please list activities provided): ______

Facility Name: ______City: ______Facility Type: City/Community/County Park Church/Rel Bldg College/Univ Museum Nature/Env Edu Ctr School/ISD Site Scout Facility/Youth Camp TPWD site or park Zoo Other: ______Group or time Numbers of Participants interval (use tick marks) Total

Grand Total See page 2 for directions about estimating numbers of participants for larger events.

Figures below are: Actual Figures Estimated Figures Ethnicity Phys Male Female (see key below) Chlg Totals: AI AS B His Ha W O U Youth (17 & under) Adult Totals: Ethnicity Key: AI – American Indian/Alaskan Native As – Asian B – Black/African American Ha – Hawaiian/Pacific Islander His – Hispanic/Latino W – White O – Other U –- Unknown

Lead Instructor Name: ______e-mail address or ph#: (please print)

Lead Instructor Hours: Signature: ______Date: (please sign) If other volunteers participated in this event, please use page 2 of this form to document their volunteer hours. Each volunteer must sign for their volunteer hours.

Please mail or fax completed form to: Texas Parks and Wildlife Department Attn: Aquatic Education 4200 Smith School Rd. Austin, TX 78744 Fax: 512-389-8673 PWD 589W–K0700 (11/12) 1 Hours Wor ked Certified (incl udin Angler Ed Check if g Volunteer Assistants Instructor? TPWD prep & clean-up (Please print first and last name) (yes/no) Signature (required) Employee hours)

Total Volunteer Hours

Accepted methods of estimating numbers of participants for large events:

1. For smaller crowds (less than 50), each participant can be counted. Use tick marks for each person.

2. To count participants in groups greater than 50 or when large groups participate at different intervals for a longer event, please derive an estimate by using the following method.

Count the number of participants in 10-minute intervals several times (at least one time each hour) throughout the event. Use tick marks and document the interval times in the spaces provided in the chart on page 1 of this form. Average the number of participants for the 10-minute intervals by totaling the numbers of participants counted and dividing by the number of 10-minute intervals you counted. Multiply that average by the number of 10- minute intervals for the event as a whole (a three-hour event would have 18 10-minute intervals) to get an estimate of the total number of participants.

PWD 589W–K0700 (11/12) 2