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Para obtener ayuda en español para completar el formulario por favor llame a  (607) 254-2455 o escriba a urbanbirds@cornell.edu. CONTACT INFORMATION [All information with * is needed in order to mail your free materials. Your mailing address will only be used for sending the materials you choose below.] *First name: *Last name: Organization name: *Street address: *City: *State or Province: Choose a State/Province Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland & Labrador North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory *Postal code: Email address: (to participate in "Meet the Scientist" activities, you must include your email address) Confirm email address: Please send me the free Celebration materials. Please send me the free full-color Celebration issue of PigeonScope (the Urban Bird Studies newsletter). Please add me to the News Update email list (receive one e-Newsletter per month; requires entering email address above) Yes, I am willing to participate in a followup survey about my Celebration experience. (When you return your survey you will qualify for a drawing for a free gift.) We'd like to get to know you better. Your additional information will help us make improvements. All questions are optional. (To skip this part, scroll to the bottom of the page and click "Submit.") A. TELL US ABOUT YOU. I will participate in the Celebration as a [Choose one] student (please write grade below) parent/grandparent individual teacher (please write grade(s) below) informal/nonformal educator youth leader other (please explain below) Please write grade level or explain here: I am [Choose one] very interested in birds interested in birds somewhat interested in birds not interested in birds My skill level at observing and identifying birds is Novice 1 2 3 4 5 Expert These two questions are for classification purposes only and will be kept strictly confidential. Age: [Choose one] 13 - 15 16 - 18 18 - 24 25 - 34 35 - 49 50 - 64 65 + Sex: Male   Female Please note: If you are under age 13, please have a parent, mentor, or other adult fill out this form for you. Thanks. I heard about Celebrate Urban Birds! through (check all that apply): Urban Bird Studies training workshop BirdScope   Newspaper Television Radio Web site email List Magazine/Journal Audubon chapter/ Bird club Teacher/Youth group Other   What made you decide to participate in Urban Bird Studies or Celebrate Urban Birds? B. TELL US ABOUT YOUR GROUP If you are leading a group for the Celebration, please give group information. (skip if you are not leading a group) Number of participants you expect in your group(s): Will they participate as a group or independently? Group Independently Ages of participants (check all that apply): pre-K to kindergarten elementary middle school/junior high high school college adults My group has [Choose one] a great deal of experience with birds some experience with birds little experience with birds no experience with birds Explain here anything you would like us to know about your group and their experience with birds and science. C. TELL US ABOUT HOW YOU WILL CELEBRATE. I hope to include the following in my Celebration (check all that apply): Birds in the City project Crows Count project art projects photography projects reading projects writing projects/journaling PigeonWatch project Dove Detectives project Gulls Galore project other science projects (please explain below) other recreational projects (please explain below) Explain here: Write any additional information or ideas you would like us to know.