OBSERVER INFORMATION

Name:

Email:

Mailing Address:

City:

State/Province:

Zip:

SIGHTING INFORMATION

Common Name:

Scientific Name:

Sighting Date(s)(m/d/yr):

Time and Length of Sighting:

Location of Sighting (County and Distance to nearest town and legal description if known):

Light and Weather conditions during observation:

Optical/Photographic Equipment Used:

Number of Birds seen:

Sex and age of birds seen:

Habitat Description:

Describe in great detail the bird(s) you observed. Describe the field marks that you actually observed, NOT those described in the field guides. Include size, shape, plumage pattern and coloration (including wear), bill characters (shape, length, color), wings, tail, feet, and other characters(such as eye color, leg length and color, etc.).

Description of Bird(s) behavior:

Description of Bird(s) voice:

How was bird differentiated from similar species?:

Previous experience with this and similar species:

References Consulted:

Were field notes written: _____During observation? _____After observation? _____From Memory?

MAIL TO

Ron Martin
2708 Academy Rd
Minot, ND 58703