Heron Observation Form

Name *

First Name Last Name

Email *

example@example.com

Date *

Date

Time *

Hour Minutes

AM/PM Option

GPS Location

Site Name

EX: Avondale Park

Address

Street Address

Street Address Line 2

City

Postal / Zip Code

Species *

Green Heron Yellow-crowned Night-heron Black-crowned Night-heron

Number of Individuals *

Behavior *

Foraging Flying Resting Nesting Other (add note below)

Nest found?

Yes No

Type of tree/shrub that nest is in:

EX: Wax Myrtle (take a picture if you’re not sure!)

Breeding Stage

Nest building Incubation Young chicks Mobile but flightless young Fledglings Other (if more than one nest, put the stage of the nest that is farthest along and detail other stages in notes)

Number of chicks/fledglings

Notes

Photo

LIABILITY WAIVER

In consideration of my participation in an Alabama Audubon program, I do, for myself, my child(ren) or ward(s), my spouse, legal representatives, heirs, and assigns, hereby release and discharge Alabama Audubon, its officers, directors, employees, members, and volunteer coordinators (hereinafter "Releasees") from any and all liability, loss, damage, action, cause of action, or claim resulting therefrom, on account of injury or death to me, my child(ren), or my ward(s), whether caused by the negligence of the Releasees or otherwise, while I, my child(ren), or my ward(s) am/is/are participating in said program. I hereby declare that I fully understand that participation in an Alabama Audubon program is voluntary and involves certain inherent risks and hazards, and that I am solely and fully responsible for judging the ability of myself or my child(ren) or ward(s) to participate safely in these activities. I fully understand that the participation of my child(ren) or ward(s) is entirely my decision, and I do hereby assume full responsibility for the risk of bodily injury or death to myself, my child(ren), or ward(s), or property damage while participating in an Alabama Audubon program. Further, I hereby waive all claims, causes of action, actions, or liability against the Releasees as a result of the volunteer activity. By hitting the "submit" button below, I have executed this release on the date recorded above.