THE SCIENTIFIC RACCOON JOURNAL

A New Dog - Bringing Raccoons in from the Cold in Urban Areas

Register a Raccoon Feeder with Feeder Short Form One

Feeder's Name and Contact Information Last Name: First Name:

Street Number: Street Name: Suite/Unit Number:

City: Canadian Province: Postal Code:

Home Phone: Cell Phone: Email Address:

Name and Address of Feeder's Supervisor Supervisor's Last Name: First Name:

Street Number: Street Name: Suite:

City: Province: Postal Code:

Phone Number: Email Address:

Amount of Raccoon Food Consumed

Raccoon Food Consumed Daily	Summer	Fall	Winter	Spring
Cat Food Consumed Daily (Kilograms)
Dog Food Consumed Daily (Kilograms)
Other Food Consumed Daily (Kilograms)
Total Food Consumed Daily (Kilograms)

Description of Raccoon Food Consumed Description of Cat Food:.......................

Description of Dog Food:......................

Description of Other Food:...................