2017
1
________ Live Herpetology Collection Specimen Number: ________ Your Name: ________________________ Common Name: _______________________ Scientific Name: ___________________________________________ County, State: ____________________________________ Capture Date: ____________________________ Exact Locality: ___________________________________________________________________________________ Habitat Information: ______________________________________________________________________________ (Prairie, Pond, River, Crossing Road, Rocky Hillside, Under Rock ‐ Log, In Dense Woodland, etc.) Pertinent Weather Conditions: _____________________________________________________________________ Key Character of this Species:______________________________________________________________________ Other Field Notes:_______________________________________________________________________________
(Life Stage: Adult, Juvenile, Hatchling, Tadpole, Eggs, etc.)
2017
________ Live Herpetology Collection
2
Specimen Number: ________ Your Name: ________________________ Common Name: _______________________ Scientific Name: ___________________________________________ County, State: ____________________________________ Capture Date: ____________________________ Exact Locality: ___________________________________________________________________________________ Habitat Information: ______________________________________________________________________________ (Prairie, Pond, River, Crossing Road, Rocky Hillside, Under Rock ‐ Log, In Dense Woodland, etc.) Pertinent Weather Conditions: _____________________________________________________________________ Key Character of this Species: ______________________________________________________________________ Other Field Notes: _______________________________________________________________________________
(Life Stage: Adult, Juvenile, Hatchling, Tadpole, Eggs, etc.)
2017
________ Live Herpetology Collection
3
Specimen Number: ________ Your Name: ________________________ Common Name: _______________________ Scientific Name: ___________________________________________ County, State: ____________________________________ Capture Date: ____________________________ Exact Locality: ___________________________________________________________________________________ Habitat Information: ______________________________________________________________________________ (Prairie, Pond, River, Crossing Road, Rocky Hillside, Under Rock ‐ Log, In Dense Woodland, etc.) Pertinent Weather Conditions: _____________________________________________________________________ Key Character of this Species: ______________________________________________________________________ Other Field Notes: _______________________________________________________________________________
(Life Stage: Adult, Juvenile, Hatchling, Tadpole, Eggs, etc.)
2017
________ Live Herpetology Collection
4
Specimen Number: ________ Your Name: ________________________ Common Name: _______________________ Scientific Name: ___________________________________________ County, State: ____________________________________ Capture Date: ____________________________ Exact Locality: ___________________________________________________________________________________ Habitat Information: ______________________________________________________________________________ (Prairie, Pond, River, Crossing Road, Rocky Hillside, Under Rock ‐ Log, In Dense Woodland, etc.) Pertinent Weather Conditions: _____________________________________________________________________ Key Character of this Species: ______________________________________________________________________ Other Field Notes: _______________________________________________________________________________
(Life Stage: Adult, Juvenile, Hatchling, Tadpole, Eggs, etc.)
2017
________ Live Herpetology Collection
5
Specimen Number: ________ Your Name: ________________________ Common Name: _______________________ Scientific Name: ___________________________________________ County, State: ____________________________________ Capture Date: ____________________________ Exact Locality: ___________________________________________________________________________________ Habitat Information: ______________________________________________________________________________ (Prairie, Pond, River, Crossing Road, Rocky Hillside, Under Rock ‐ Log, In Dense Woodland, etc.) Pertinent Weather Conditions: _____________________________________________________________________ Key Character of this Species: ______________________________________________________________________ Other Field Notes: _______________________________________________________________________________
(Life Stage: Adult, Juvenile, Hatchling, Tadpole, Eggs, etc.)
2017
6
________ Live Herpetology Collection Specimen Number: ________ Your Name: ________________________ Common Name: _______________________ Scientific Name: ___________________________________________ County, State: ____________________________________ Capture Date: ____________________________ Exact Locality: ___________________________________________________________________________________ Habitat Information: ______________________________________________________________________________ (Prairie, Pond, River, Crossing Road, Rocky Hillside, Under Rock ‐ Log, In Dense Woodland, etc.) Pertinent Weather Conditions: _____________________________________________________________________ Key Character of this Species: ______________________________________________________________________ Other Field Notes: _______________________________________________________________________________
(Life Stage: Adult, Juvenile, Hatchling, Tadpole, Eggs, etc.)
2017
________ Live Herpetology Collection
7
Specimen Number: ________ Your Name: ________________________ Common Name: _______________________ Scientific Name: ___________________________________________ County, State: ____________________________________ Capture Date: ____________________________ Exact Locality: ___________________________________________________________________________________ Habitat Information: ______________________________________________________________________________ (Prairie, Pond, River, Crossing Road, Rocky Hillside, Under Rock ‐ Log, In Dense Woodland, etc.) Pertinent Weather Conditions: _____________________________________________________________________ Key Character of this Species: ______________________________________________________________________ Other Field Notes: _______________________________________________________________________________
(Life Stage: Adult, Juvenile, Hatchling, Tadpole, Eggs, etc.)
2017
________ Live Herpetology Collection
8
Specimen Number: ________ Your Name: ________________________ Common Name: _______________________ Scientific Name: ___________________________________________ County, State: ____________________________________ Capture Date: ____________________________ Exact Locality: ___________________________________________________________________________________ Habitat Information: ______________________________________________________________________________ (Prairie, Pond, River, Crossing Road, Rocky Hillside, Under Rock ‐ Log, In Dense Woodland, etc.) Pertinent Weather Conditions: _____________________________________________________________________ Key Character of this Species: ______________________________________________________________________ Other Field Notes: _______________________________________________________________________________
(Life Stage: Adult, Juvenile, Hatchling, Tadpole, Eggs, etc.)
2017
________ Live Herpetology Collection
9
Specimen Number: ________ Your Name: ________________________ Common Name: _______________________ Scientific Name: ___________________________________________ County, State: ____________________________________ Capture Date: ____________________________ Exact Locality: ___________________________________________________________________________________ Habitat Information: ______________________________________________________________________________ (Prairie, Pond, River, Crossing Road, Rocky Hillside, Under Rock ‐ Log, In Dense Woodland, etc.) Pertinent Weather Conditions: _____________________________________________________________________ Key Character of this Species: ______________________________________________________________________ Other Field Notes: _______________________________________________________________________________
(Life Stage: Adult, Juvenile, Hatchling, Tadpole, Eggs, etc.)
2017
________ Live Herpetology Collection
10
Specimen Number: ________ Your Name: ________________________ Common Name: _______________________ Scientific Name: ___________________________________________ County, State: ____________________________________ Capture Date: ____________________________ Exact Locality: ___________________________________________________________________________________ Habitat Information: ______________________________________________________________________________ (Prairie, Pond, River, Crossing Road, Rocky Hillside, Under Rock ‐ Log, In Dense Woodland, etc.) Pertinent Weather Conditions: _____________________________________________________________________ Key Character of this Species: ______________________________________________________________________ Other Field Notes: _______________________________________________________________________________
(Life Stage: Adult, Juvenile, Hatchling, Tadpole, Eggs, etc.)
2017
11
________ Live Herpetology Collection Specimen Number: ________ Your Name: ________________________ Common Name: _______________________ Scientific Name: ___________________________________________ County, State: ____________________________________ Capture Date: ____________________________ Exact Locality: ___________________________________________________________________________________ Habitat Information: ______________________________________________________________________________ (Prairie, Pond, River, Crossing Road, Rocky Hillside, Under Rock ‐ Log, In Dense Woodland, etc.) Pertinent Weather Conditions: _____________________________________________________________________ Key Character of this Species: ______________________________________________________________________ Other Field Notes: _______________________________________________________________________________
(Life Stage: Adult, Juvenile, Hatchling, Tadpole, Eggs, etc.)
2017
________ Live Herpetology Collection
12
Specimen Number: ________ Your Name: ________________________ Common Name: _______________________ Scientific Name: ___________________________________________ County, State: ____________________________________ Capture Date: ____________________________ Exact Locality: ___________________________________________________________________________________ Habitat Information: ______________________________________________________________________________ (Prairie, Pond, River, Crossing Road, Rocky Hillside, Under Rock ‐ Log, In Dense Woodland, etc.) Pertinent Weather Conditions: _____________________________________________________________________ Key Character of this Species: ______________________________________________________________________ Other Field Notes: _______________________________________________________________________________
(Life Stage: Adult, Juvenile, Hatchling, Tadpole, Eggs, etc.)
2017
________ Live Herpetology Collection
13
Specimen Number: ________ Your Name: ________________________ Common Name: _______________________ Scientific Name: ___________________________________________ County, State: ____________________________________ Capture Date: ____________________________ Exact Locality: ___________________________________________________________________________________ Habitat Information: ______________________________________________________________________________ (Prairie, Pond, River, Crossing Road, Rocky Hillside, Under Rock ‐ Log, In Dense Woodland, etc.) Pertinent Weather Conditions: _____________________________________________________________________ Key Character of this Species: ______________________________________________________________________ Other Field Notes: _______________________________________________________________________________
(Life Stage: Adult, Juvenile, Hatchling, Tadpole, Eggs, etc.)
2017
________ Live Herpetology Collection
14
Specimen Number: ________ Your Name: ________________________ Common Name: _______________________ Scientific Name: ___________________________________________ County, State: ____________________________________ Capture Date: ____________________________ Exact Locality: ___________________________________________________________________________________ Habitat Information: ______________________________________________________________________________ (Prairie, Pond, River, Crossing Road, Rocky Hillside, Under Rock ‐ Log, In Dense Woodland, etc.) Pertinent Weather Conditions: _____________________________________________________________________ Key Character of this Species: ______________________________________________________________________ Other Field Notes: _______________________________________________________________________________
(Life Stage: Adult, Juvenile, Hatchling, Tadpole, Eggs, etc.)
2017
________ Live Herpetology Collection
15
Specimen Number: ________ Your Name: ________________________ Common Name: _______________________ Scientific Name: ___________________________________________ County, State: ____________________________________ Capture Date: ____________________________ Exact Locality: ___________________________________________________________________________________ Habitat Information: ______________________________________________________________________________ (Prairie, Pond, River, Crossing Road, Rocky Hillside, Under Rock ‐ Log, In Dense Woodland, etc.) Pertinent Weather Conditions: _____________________________________________________________________ Key Character of this Species: ______________________________________________________________________ Other Field Notes: _______________________________________________________________________________
(Life Stage: Adult, Juvenile, Hatchling, Tadpole, Eggs, etc.)
2017
16
________ Live Herpetology Collection Specimen Number: ________ Your Name: ________________________ Common Name: _______________________ Scientific Name: ___________________________________________ County, State: ____________________________________ Capture Date: ____________________________ Exact Locality: ___________________________________________________________________________________ Habitat Information: ______________________________________________________________________________ (Prairie, Pond, River, Crossing Road, Rocky Hillside, Under Rock ‐ Log, In Dense Woodland, etc.) Pertinent Weather Conditions: _____________________________________________________________________ Key Character of this Species: ______________________________________________________________________ Other Field Notes: _______________________________________________________________________________
(Life Stage: Adult, Juvenile, Hatchling, Tadpole, Eggs, etc.)
2017
________ Live Herpetology Collection
17
Specimen Number: ________ Your Name: ________________________ Common Name: _______________________ Scientific Name: ___________________________________________ County, State: ____________________________________ Capture Date: ____________________________ Exact Locality: ___________________________________________________________________________________ Habitat Information: ______________________________________________________________________________ (Prairie, Pond, River, Crossing Road, Rocky Hillside, Under Rock ‐ Log, In Dense Woodland, etc.) Pertinent Weather Conditions: _____________________________________________________________________ Key Character of this Species: ______________________________________________________________________ Other Field Notes: _______________________________________________________________________________
(Life Stage: Adult, Juvenile, Hatchling, Tadpole, Eggs, etc.)
2017
________ Live Herpetology Collection
18
Specimen Number: ________ Your Name: ________________________ Common Name: _______________________ Scientific Name: ___________________________________________ County, State: ____________________________________ Capture Date: ____________________________ Exact Locality: ___________________________________________________________________________________ Habitat Information: ______________________________________________________________________________ (Prairie, Pond, River, Crossing Road, Rocky Hillside, Under Rock ‐ Log, In Dense Woodland, etc.) Pertinent Weather Conditions: _____________________________________________________________________ Key Character of this Species: ______________________________________________________________________ Other Field Notes: _______________________________________________________________________________
(Life Stage: Adult, Juvenile, Hatchling, Tadpole, Eggs, etc.)
2017
________ Live Herpetology Collection
19
Specimen Number: ________ Your Name: ________________________ Common Name: _______________________ Scientific Name: ___________________________________________ County, State: ____________________________________ Capture Date: ____________________________ Exact Locality: ___________________________________________________________________________________ Habitat Information: ______________________________________________________________________________ (Prairie, Pond, River, Crossing Road, Rocky Hillside, Under Rock ‐ Log, In Dense Woodland, etc.) Pertinent Weather Conditions: _____________________________________________________________________ Key Character of this Species: ______________________________________________________________________ Other Field Notes: _______________________________________________________________________________
(Life Stage: Adult, Juvenile, Hatchling, Tadpole, Eggs, etc.)
2017
________ Live Herpetology Collection
20
Specimen Number: ________ Your Name: ________________________ Common Name: _______________________ Scientific Name: ___________________________________________ County, State: ____________________________________ Capture Date: ____________________________ Exact Locality: ___________________________________________________________________________________ Habitat Information: ______________________________________________________________________________ (Prairie, Pond, River, Crossing Road, Rocky Hillside, Under Rock ‐ Log, In Dense Woodland, etc.) Pertinent Weather Conditions: _____________________________________________________________________ Key Character of this Species: ______________________________________________________________________ Other Field Notes: _______________________________________________________________________________
(Life Stage: Adult, Juvenile, Hatchling, Tadpole, Eggs, etc.)