Bio-Blitz Pre-registration Form - North

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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
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