ONTARIO NORTHERN SAW-WHET OWL COOPERATIVE BANDING PROJECT STATION REGISTRATION FORM Please complete as much of this form as possible now and send it to the OBBA Owl Project Coordinator: Christian Friis 3-673 Broadview Ave., Toronto, ON, M4K 2N9 friis.christian@gmail.com 416.461.2137 We may request additional details later. Station Coordinator/Manager Contact Information Name: Affiliated Organization: Mailing Address: Preferred E-mail: Preferred Phone: (_____) - _____________ Best time to phone you (during the day, evenings, weekend): Name and contact information for the Master Permit holder (federal and provincial) if different from above: Station Location Information Name of Station: Station Code (Location code used in Band Manager program): Coordinates (degrees, minutes, seconds; as accurate as possible please) Latitude: _____ _____ _____ Longitude: _____ _____ _____ UTM Coordinates (if available): ZONE __ __ | EASTING __ __ __ __ __ __ | NORTHING__ __ __ __ __ __ __ Nearest Town: ____________________________County: ________________Province: ___ ___ Land Ownership: Average Altitude (in m): ___________ General Habitat Description (e.g., “Mixed woodland in suburbia”; “cottonwood-willow riparian corridor”): Station Operation Number of nets: _________ Mesh size of nets: 2 3/8” 1.5” 1.25” other ____ Periods of operation: Start date: _____ End date: _____. Number of hours of operation per night: ______ Station type (choose one): Fully standardized Partly standardized Pilot/experimental Casual Other (specify): First year of operation at this site: Audio Lure: Broadcast Equipment: Station Map: do you have a sketch map showing the general configuration of your station? Written Protocol: do you have a written protocol describing your station’s operations? Station Objectives and Activities Please provide a short description of the current objectives of your owl banding project, and the type of activities involved, (e.g., do you do owl banding demonstrations for groups or the public? Any special research projects? Nestbox monitoring?) Data Release I hereby grant permission to the OBBA to use the data I provide for purposes of the NWSO Cooperative Banding Project. Any publications or reports arising from this project will acknowledge the important contribution of the participating stations and banders in collecting and providing the necessary data. Please provide the name of the organization or banding group and individual bander(s) to be cited in the acknowledgements of publications. Due to space limitations we can include a maximum of two names per station. However, we would like to include a list of all staff and volunteers for each station in our annual project report. All information gather in this document will be used strictly for the purposes of the Cooperative Project. The OBBA does not sell, lend or give out personal information. Your privacy is important to us. If you would not like your Names to be Cited published in the annual report, please check here _____________________________ _________________________ Signature of Master Permit Holder Date Names to be Cited Organization or Banding Group: Master Bander: Assistant Bander(s): Other volunteers and staff: