FAX Form

--- PRINT THIS FORM AND FAX TO THE DEP AT (207)287-7826 -- ATTN: Tamara Whitmore

Maine Department of Environmental Protection

Earth Day 2006
Robins, Peepers, Sugar Maples, and Dandelions Project

Data Submission Form

All data submitted to the DEP before noon on Mondays will be posted in the weekly update.
Watch the project map and data site for your results!

Thanks for your help!

School Information

School Name:_________________________________________________

School Location (town): _____________________________________

Teacher Name: _________________________________

Class(es) Reporting Observations: _________________________

Confirmation Password: __________________________

Has the group reported before? ____Yes ____No

Observations

Were robins observed three or more times? ____Yes ____No
____ Single bird ____ Large flock (5+)
Date of robin observation: ___________

Was the sound of spring peepers heard three or more times? ____Yes ____No
____ Small group ____ Large chorus
Date of peeper observation: ____________

Was sugar maple budburst observed? ____Yes ____No
Date of budburst observation: ______________



Were dandelion flowers observed? ____Yes ____ No

Date of dandelion observation: ______________

Wednesday 9 a.m. Temperature (degrees Fahrenheit): _____F
Snow depth (inches): _________ inches

Date of local lake ice-out: _____________

Name of lake:______________________________

Other comments?

--- PRINT THIS FORM AND FAX TO THE DEP AT (207)287-7826 -- ATTN: Tamara Whitmore

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