Report Shark Sighting

Date of Encounter *

Name *

First

Last

Address *

City *

State *

Zip Code

Country *

Telephone *

Date of birth *

Email *

Height *

Weight *

Sex *

Activity at time of encounter *

Activity Experience Level *

Describe equipment used in activity *

Body Fully Clothed *

Type and color of clothing *

Number of sharks observed *

Indentified by *

Description of shark *

Location of encounter *

Describe sea floor

Weather conditions *

Sea conditions *

Water Depth *

Time of Day *

Water Visibility *

Water Temp *

Air Temp

Temperatures *

Length of time in waterb prior to encounter *

Kelp Present *

Amount and location of kelp *

Were marine animals present? *

If yes, location and number *

Collection of marine animals prior to encounter? *

Type and method of collection *

Describe in detail your movements prior to, during, and following the encounter. Include the shark's behavior, swimming movements, and persistence. *

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I understand that upon submission of this form I will have donated the above data to Shark Nark for ongoing white shark research projects including white shark/human interactions from the Pacific Coast of North America. I voluntarily donate this information to further our knowledge of the white shark and its interactions with humans. *

Signed, *

First

Last

Email *

Phone