The Tadpole Monitoring Project

Amphibian Reporting Form - Spring and Summer 2002

Common Name: (eg. wood frog)

*Name of Observer (s):

Address Town Province

Postal Code Phone Number Email

May we Contact You? Yes No

*Location Information: describe the exact location of the die-off so that the research team can visit the site to collect samples. Include distances when possible

Location Name: Township: County/Municipality:

*Observation Details: Date Observed: Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day Year 1998 1999 2000 2001 2002 Photo Taken

Weather Conditions: Approx air temperature:

Check all that apply:

high precipitation moderate precipitation low precipitation 100% cloud cover 75% cloud cover

50% cloud cover 25% cloud cover clear

Number of dead or ill individuals observed:

*Check all that apply: reported animals are...

tadpoles adults unknown age alive with no signs of disease alive with signs of disease dead with no signs of disease

dead with signs of disease one species is effected more then one species is effected

unusual behaviour observed unusual appearance observed

* Site Description: check all that apply

wetland (pond, marsh, bog or swamp) lake shoreline river or stream permanent wetland temporary wetland

urban outskirts rural agricultural pristine cottage private land crown land

Additional Notes:

Volunteers are integral participants in the Tadpole Monitoring Project. Thank you for your input and continued support.