Eagle Watch Volunteer Monitoring Form

Registration from to be filled out by those wanting to participate in the Eagle Watch Program.

If you have any questions or would like further information contact: Janet Haslerig at 573-522-4115 ext. 3198, eaglewatch@mdc.mo.gov

Name *

Organization Affiliation (if any)

Occupation

Adress Information

Street Address *

City *

State *

Zip *

County *

Contact Information

Email Address *

Cell Phone

Home/Work Phone

How much time can you commit to the Missouri Eagle Watch Program each month? *

(a minimum of 3 visits per nesting season, at least 30 minutes per visit is required)

Do you wish to monitor eagle nests only within the county in which you reside? *

Yes

If no, what other counties are you willing to monitor?

How many nests are you willing to monitor? *

Do you have an active eagle nest on your property?

Yes

Are you currently monitoring an active eagle nest?

Yes

How many nests are you montoring?

What county and where are the nests you are monitoring?

Are you willing to scout nests in:

Remote Locations

Difficult Terrain

Via Boat or Canoe

How did you hear about the Eagle Watch Program

Form Agreement

Signature

By submitting this form I agree to be a willing volunteer in the eagle watch monitoring program.

Leave this field blank