The Greater Georgian Bay Reptile Awareness Program

Reptiles at Risk Reporting Form

This form is distributed as part of the Greater Georgian Bay Reptile Awareness Program.
The contribution of your sightings will assist the conservation of these species.

Common Name: (e.g. spotted turtle)
Latin Name: (e.g. Clemmys guttata) Need Help?
Name of Observer(s):
Address:
Prov./State:
Postal/Zip Code:
Telephone:
E-mail
Location Information: describe the precise location of your sighting, refer to street names, landmarks; include distances when possible (attach copy of relevant section of topo/OBM map AND/OR sketch of the location if possible)


**See "Reporting Location Information" on reverse and/or example form for mapping tips
Location Name:
Township:		County/Muncipality
Topographic Map Name:		Topographic Map #: (e.g., 31D/13)
Coordinates: (Full UTM if possible) Easting: m Northing: m
Zone (e.g., 17): Or Latitude: Longitude
Datum (e.g., NAD27):	How were coordinates taken:

Observation Details:
Date Observed: Month: Day: Year:
# of individuals observed
Check all that apply
Is the specimen: alive roadkill dead by other means
male female juvenile unknown
Behaviour: basking feeding nesting other (specify)

Site Description: Check all that apply
wetland (pond, marsh, bog or swamp) lake shoreline river stream
mixed forest deciduous forest coniferous forest meadow/field rock outcrop
sand residential farmland private land crown land roadway utility corridor other (specify)

Optional Additional Notes: (soil type, aspect, slope, disturbance, and vegetation)

Reporting Location Information
National Topographic System (NTS) Maps - standard topographic maps covering the entire Canadian landmass at scales of 1:50 000 and 1:250 000. To obtain Topographic Maps for your area, please consult the Yellow Pages under "MAPS".
· For Information on Topographic Maps (The Basics) go to: http://maps.nrcan.gc.ca/maps101/
· To determine Topographic Map #'s for your area go to: http://maps.nrcan.gc.ca/search/index.html

Ontario Base Map (OBM) Series - medium scale mapping format designed to cover the Province at scales of 1:20 000 in Northern Ontario and 1:10 000 in Southern Ontario
· For information on obtaining OBM's: http://www.digimap.com/data_sub/obm_cdx.htm
· OBM Guidelines http://maps.mnr.gov.on.ca/

Global Positioning System (GPS) - allows handheld units to use satellite signals to pinpoint locations on the earth's surface
· When obtaining coordinates using GPS units, please consult your manual and report full UTM, Zone (e.g., 17), and Datum (default usually set to WGS84)
· We would prefer that you collect the coordinates in NAD 27, however we will accept information in NAD 83.

Latin Names

Spotted turtle	Clemmys guttata
Wood turtle	Clemmys insculpta
Blanding's turtle	Emydoidea blandingii
Eastern fox snake	Elaphe gloydi
Eastern massasauga rattlesnake	Sistrurus catenatus catenatus
Eastern hognose snake	Heterodon platirhinos
Five-lined skink	Eumeces fasciatus

You may also submit this form by printing and sending by:

1. Mail
Ministry of Natural Resources
7 Bay Street, Parry Sound
P2A 1S4
Attn. Reptile Awareness Program

2.Fax:
(705) 746-8828