NYS Biodiversity Research Institute - BioBlitz Registration Form

Registration Form - Caleb Smith State Park BioBlitz 2004 Submit this form if you would like to help us at this year's BioBlitz on September 10 - 11, 2004. After completing and submitting this form you will receive an email verification of the information you sent (if you supply an email address). You will also be contacted to verify the information supplied and to let you know how you may be able to help us with upcoming BioBlitz events. If you have any questions or you are unable to submit this form, please contact BRI Administrative Staff.

Contact Information:
Last Name:
First Name:
Middle Name:
Organization/Business:
Position/Title:
Mailing Address:
City:
State:
Zip Code:
Phone Number:
Fax:
Email Address:
	Please check your email address. We have no way of knowing if it is incorrect.


EXPERTISE LEVEL — PLEASE SELECT ONE:
Expert — I am very skilled at identifying species from my group of interest and I would be comfortable as a group leader or working independently. Amateur Naturalist — I have a moderate level of skill in identifying species from my group of interest and would be more comfortable if I was teamed up with someone who had a higher degree of expertise. Volunteer — I am interested in natural history and would like to join a group in the field. Volunteer oportunities may be limited depending on how many people sign-up for the BioBlitz.
	Area of expertise or group you would like to assist:
When would you prefer to sample? (Check all that apply.)
Friday Afternoon (12 noon – 4:00pm) Friday Evening (4:00pm – dusk) Overnight Saturday Morning ( 8:00am – 12 noon) Participants are encouraged to sign-up for 4-hour shifts, however, you may sign-up for as little as 1 hour or as many as 24 hours.

Mailing Information:
I would only like to be mailed information on the next BioBlitz. I would also like to be included on the New York State Biodiversity Research Institute's mailing list. We occasionally send out information on our activities and also on upcoming events such as the Northeast Natural History Conference and BioBlitz events.
Comments and Suggestions:

Thank You!

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