Trip Day/Date:

Leader:

Max Group size

(Group + 2 Leaders)

Co-Leader:

Trailhead:

Mileage:

Elevational gain:

Trail/s:

Destination/s:

Req’d Equipment:

1. Meeting Place/Time:

2. Meeting Place/Time:

Trail-head Start time:

Rain date:

• Hiked with me before? Where?

• Prior experience: Where, How recent, Miles, Difficulty, Weather?

• Recent exercise, how often, illness?

• Medical problems? {Bee sting? Allergies?}

• Equipment/Gear (Review check list)?

• Medical: Special skills? {Dr, Paramedic, Nurse, Training, etc.?}

• Other friends/participants/invitees MUST be signed up prior to hike.

• Dogs?

• Please call if you are unable to make the trip.

Participants

Name

Member?

Phone

Town / State

Meeting place

1

Leader

Yes

2

Co-leader

3

4

5

6

7

8

9

10

11

12

Waiting List

1

2

3

4