Wildlife Jewels® EYES Volunteer Report Form

Wildlife Jewels® EYES Wildlife Monitor Volunteer Report

Wildlife Jewels® | 501(c)(3) public charity | www.wildlifejewels.org
Thank you for volunteering with the Wildlife Jewels EYES™ Collective to help protect our coastal wildlife through monitoring, reporting, and community action. Please submit your report within 48 hours so we can track conditions in near-real time and record your hours. Because reporting is a key part of the program, you’ll receive one additional volunteer hour credited for completing this form. For emergencies, notify Wildlife Jewels immediately using the designated channels provided in your training/materials

Note: This form is for approved Wildlife Jewels volunteers only. Before submitting, you must have applied to volunteer with Wildlife Jewels and completed the required liability waivers and shift sign-up forms.
Your Name*

First NameLast Name
Your Email*
example@example.com
Your Phone Number*
Confirm your Role:*

Wildlife Jewels EYES Wildlife Monitor VolunteerWildlife Jewels StaffOther
Select Your Primary Wildlife Jewels® EYES General Location(s):*

EYES Huntington BeachEYES Newport BeachEYES Solana BeachEYES La JollaOther
Please complete the following details for the shift you monitored:
Date of your shift:*

MonthDayYear
Date
Time you monitored:*

6AM-8AM8AM-10AM10AM-12PM12PM-2PM2PM-4PM4PM-6PM6PM-8PMOther
Location you monitored*

Huntington State BeachCorona del Mar State BeachNewport Back BaySolana BeachLa Jolla CoveLa Jolla Children's PoolOther
If you saw a distressed wildlife select the type of distressed Wildlife you're reporting:*

Marine MammalBirdFishN/A I did not see a distressed wildlifeOther
If known, what species?

DuckBrown PelicanGullSea LionSealDolphinWhaleOther
Condition of wildlife:*

Thin/emaciated (visible ribs, hips, or spine)Entangled in fishing gearVisibly injured or bleedingIsolated and not movingDeceasedN/A I did not see a distressed wildlifeOther
If you noticed any of the above signs of distressed wildlife, please explain below.Feel free to upload any photos or videos to support your report.
At most two sentences.
Date wildlife was last seen:

MonthDayYear
Date
Time wildlife was last seen:

Hour Minutes

AM/PM Option
Threats: Did you observe any of the following threats to wildlife?*

Unleashed dogs on the beach (whee not allowed)Dogs on the beach (where not allowed)Visibly injured or bleedingPeople feeding wildlifeCars, bikes, or e-bikes racing byOil, tar balls, or chemical slicksFishing in unauthorized areasPeople throwing objects or sand at wildlifePeople disturbing Sea Lions or SealsPeople disturbing nesting birds and juvenile birdsI did not see any visible threat to wildlifeOther
Please provide the exact address, GPS Pin, or a clear description of where the distressed wildlife or threats to wildlife was was last seen:
At most two sentences.
If you noticed any of the above or other threats near the wildlife or in the surrounding area, please explain below. Feel free to provide any details that may help us understand the situation better. If you have photos or videos, please upload them to support your report.
At most two sentences.
Please describe the general health and number of wildlife you observed: (example: number of sea lion pups, number of nesting gulls, etc..)
At most two sentences.
Location of distressed wildlife or threats observed: Address (Optional)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If you observed debris around wildlife, what type of debris did you find?

Plastic debris, bottle caps, plastic strawsCandy wrappers and utensilsStyrofoam either large and smallCharcoal or burnt woodPlastic bottles and cupsUndisposed fishing gearOther
How much debris did you observe?

A few peicesManyBags fullOther
Please write a brief summary of the debris you found and any concerns you observed related to the debris. You may include the types of items found, how widespread the debris was, and any potential threats it may pose to wildlife or the environment.
At most two sentences.
Please upload photos and videos:

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Wildlife Jewels® EYES Wildlife Monitor Report Submission Acknowledgment

By submitting this form, I confirm that I am 18 years or older and volunteering independently as a Wildlife Jewels® EYES Monitor. I understand and agree to the following:

I am volunteering my time without expectation of payment or compensation.

I am not engaging in wildlife rescue, intervention, or handling.

I am submitting this report solely to document wildlife observations and potential threats.

Any photos, videos, or content I submit may be used by Wildlife Jewels® for educational, advocacy, or promotional purposes.

I take full responsibility for my observations and actions during this activity.

Wildlife Jewels® is not liable for any injury or damages that may occur during my participation.
I have read and agree to the above terms.
All content © & ™ Copyright Wildlife Jewels® 2025. All rights reserved. Wildlife Jewels® is a registered trademark of Wildlife Jewels®.
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Wildlife Jewels® EYES Wildlife Monitor Volunteer Report