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 brian.zarate@dep.state.nj.us