User account

Step 1: Fill out the fields in the form below and click "Create new account".

Step 2: You will be sent an email containing instructions on how you can complete your registration and how you can change your password and login.

Step 3: Using your username and password, log into the site to add roadkill observations and use other features.

Username: *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Firstname:

Enter your first name.

Organization:

Please choose your organization from the list, or if it isn't listed, please enter the official name.

Lastname: *

Profession:

What do you do at work?

Website:

You may enter a link to your personal homepage or place of employment.

Address / Contact Details

NOTE: The address field is not visible to the general public and we collect this information for internal purposes only.

Street Address:

Enter your street address.

City:

Enter the city.

State: *

Zip Code: *

Please enter your home (5-digit) zip code.

Primary Phone:

Type in your primary phone number, such as a cell phone.

Leave this field blank:

CAPTCHA

This question is added to prevent spam submissions.

What code is in the image?: *

Enter the characters shown in the image.

California Roadkill Observation System

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User account