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2. Contact Information

4. Name (First and Last)*
6. Email Address*
8. Phone Number*
10. This phone is a:*
    -- Select One --Cell PhoneLandline
12. The best way to reach me is:*

    1. Email
    2. Text
    3. Phone Call
14. I have a smart phone or camera I can use to take pictures and submit them through the app or by email*

    1. Yes
    2. No

18. OBSERVATIONS

    Observations must be submitted before 5pm on Wednesdays.

    Please refer to the maps on our website for locations of observation sites: Observation Sites

20. I am available to do observations on the following zones of Moses Lake:*

    1. North Moses Lake (WDFW North Access and Connelly Park)
    2. Middle Moses Lake (Blue Heron Park)
    3. Lewis Horn (Cascade Park)
    4. Parker Horn (Neppel Landing)
    5. Pelican Horn (Lower Penninsula Park, Montlake Park)
    6. South Moses Lake (North and South Outlet Dams, the Sand Dunes)
    7. I am not available for Moses Lake.
22. I am available to do observations at the following sites on Potholes Reservoir:*

    1. Potholes State Park
    2. Blythe Access Area
    3. Mardon Resort
    4. Sampson Point
    5. Perch Point
    6. I am not available for Potholes Reservoir.
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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field