State of Florida Game and Fresh Water Fish Commission
  Annual Falconry Report, 2010

Please return to:  FWC, Captive Wildlife, 620 South Meridian Street, Tallahassee, FL 32399-1600

Name: ___________________________  Date: _______ FED PRT# _ _ _ _ _ _ FL PRT# _ _ _

Address:____________________________________________________County:____________

Please fill out the following information for all falconry birds acquired or in your possession between July 31,2009 and July 31,2010. Acquisition (Acq.) Sources include Captive Bred, Wild Caught and Transferred. Please indicate date of acquisition and state of origin(if a "rehab bird," please so state). If Wild Caught, please indicate whether your bird was an eyas, passage, or haggard at time of taking. Raptors`s individual names may be substituted for band numbers, if a leg-band is no longer required for the species.

Please fill out similar information for birds disposed of between July 31,2009 and July 31,2010.  Method of disposition included:
Release, Loss, Transfer, Theft, Death, etc.