Entomologist Name:
_________________________________
Assistant’s Name:
____________________________________
What kind of insect:
____________________
Size: Extra
Small Small Medium
Large Extra large
Nat Ant Fly Grasshopper Stinkbug
Colors: ________________________
Was there a sound? Circle
one. Yes No
Sounds:
___________________________________
Location found: home/cemetery/pool
park/ Pioneer Park / school/ school track/ lower field/Standpipe/Douglas
Creek/ ski hill
_____________________________________________
_____________________________________________
Habitat: Dirt Grass Blacktop Tree Air
Street
name: ____________________________________
Type
of tree: __________________________________
Date: _____________
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