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2. First Name*
3. Last Name*
5. Phone Number*
6. Email Address*
8. Date Observed*
   Date Observed
9. How many large predators did you see?*

   Coyotes, bobcats, cougars, etc. 

11. Address / Intersection / Block and Street of sighting
13. Animal Behavior*

    1. Aggressive toward a person
    2. Aggressive toward another animal
    3. Appeared to be sick
    4. Appeared to be injured
    5. Laying down in a field
    6. Walking/Running
    7. Deceased
    8. Other
14. If other, please specify.
16. Upload Any Relevant Pictures
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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field