<p> For TPWD Use Only: Class ID #:______</p><p>Include on LBB Report Include on Fed Aid Report</p><p>FISHING OR AQUATIC EDUCATION OUTREACH EVENT</p><p>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): ______</p><p>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</p><p>Grand Total See page 2 for directions about estimating numbers of participants for larger events. </p><p>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</p><p>Lead Instructor Name: ______e-mail address or ph#: (please print) </p><p>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.</p><p>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)</p><p>Total Volunteer Hours </p><p>Accepted methods of estimating numbers of participants for large events:</p><p>1. For smaller crowds (less than 50), each participant can be counted. Use tick marks for each person.</p><p>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.</p><p>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.</p><p>PWD 589W–K0700 (11/12) 2</p>