APPLICATION TO LEAD AN AMC MAJOR EXCURSION Trip # Assigned: ___________ Leader Name: Paul Davis Destination: The Lake District If possible, please fill this form out electronically so that it can be distributed by email. Type on or over lines and directly into the appropriate sections of tables. When responding to Yes/No questions, please delete the answer you do not want so that only the appropriate answer remains. If you are filling out a hard copy, please attach additional pages if you find there is not enough space to answer thoroughly. I. TRIP PROPOSED A) Trip Title: Hiking in The Lake District, England B) Type of Trip: Day-hiking and Cultural C) Date: Start August 6, 2004 End August 15, 2004 D) Participants: (not counting leaders) Minimum # 12 Length of Trip 10 days Maximum # 21 E) Brief outline of trip and trip activities. You may write or type below or attach as a separate sheet. A complete itinerary with all available contact information must be provided before departure. See attached prospectus F) Permits: Does the trip require special permits (required on all U.S. federal lands)? No If yes, please explain what permits will be needed and how/when they will be acquired. G) Equipment: Does the trip require special technical equipment? No If yes, what equipment is needed and will any of it be provided by the trip? H) Educational Aspect: What are the specific education, conservation, or recreation components of this trip? The trip will cover classic hiking routes within the Lake District region of England, including one day along Hadrian’s Wall. Furthermore, there will be excursions to visit local attractions, as well as plenty of opportunities to view and interact with local culture. I) Outfitters: Will this trip require an outfitter? No Why or why not? Off-road activities will be limited to hiking along popular trails. Even though the leaders are very familiar with this area, these trails are easily accessible by people visiting the area for the first time. Who are they? Not applicable What is their safety record? Not applicable Do they have liability insurance? Not applicable Can they provide a certificate of insurance listing AMC as an additional party insured? N/A How do they handle emergencies? Not applicable Page 1 of 7 3/8/02 APPLICATION TO LEAD AN AMC MAJOR EXCURSION II. LEADER INFORMATION A) Contact Information Leader: Paul Davis Address: 117 David Rd., Bala Cynwyd PA 19004 Home Phone: 610/667-1144 Email: pauld@worldlynx.net Work Phone: 610/420-6224 Co-Leader: Diane Carroll Address: 117 David Rd., Bala Cynwyd PA 19004 Home Phone: 610/667-1144 Email: diane@worldlynx.net Work Phone: 610/574-7594 Co-Leader: Bob Cooper Address: 226 Bickley Rd., Glenside, PA 19038 Home Phone: 215/572-5634 Email: bobpa30@hotmail.com Work Phone: 215/885-1660 B) First Aid Training – To lead a Major Excursion, you must have current CPR and Wilderness First Aid (WFA) or its equivalent at the time of your trip. Leader: Course Paul Davis ■ CPR ■ WFA ■ AWFA Exp. Date Aug. 2004 Sept. 2004 Dec. 2004 *Copy Attached ■ Yes □ No ■ Yes □ No ■ Yes □ No □ Yes □ No ■ WFA ■ AWFA □ Other Exp. Date Diane Carroll ■ CPR Aug. 2004 Sept. 2004 Dec. 2004 Copy Attached* ■ Yes □ No ■ Yes □ No ■ Yes □ No □ Yes □ No □ AWFA □ Other □ Yes □ No □ Yes □ No Co-Leader: Course Co-Leader: Course □ Other Bob Cooper ■ CPR ■ WFA Exp. Date Aug. 2004 Sept. 2004 Copy Attached* ■ Yes □ No ■ Yes □ No If copies of CPR and WFA or equivalent are not attached, please detail your specific plan to obtain this certification. * CPR and WFA certificates sent in previously to Katherine Byers. Page 2 of 7 3/8/02 APPLICATION TO LEAD AN AMC MAJOR EXCURSION C) Leader Experience and Training New Leaders: If you are a new leader or co-leader, you must have submitted the form “Application to Become a Major Excursions Leader.” Please attach a copy of that form. Applications for the Leader and both Co-Leaders will be mailed separately. Experienced Major Excursions Leaders: Please list below the last three trips you have led for the AMC including destination, type of trip (backpacking, skiing, etc.), dates, and number of participants. Feel free to list additional trips you have led, particularly if they demonstrate experience related to the trip you are proposing. 1. 2. 3. D) Scouting: Have you or your co-leader led this trip before or traveled in the area? Yes If yes, please describe: The leader is native to the area, having lived there until he was 26. He has hiked extensively in the area, including being a Mountain Rescue Squad member in the 1980s. E) Special Experience: What special skills or experience are required to lead this trip and how do you or your co-leader bring these skills and experience? Leaders of hikes in England should have map-and-compass skills. The Leader has extensive map-and-compass experience, and he has taken a refresher course during 2002. The Co-Leaders have map-and-compass skills, and they have taken a refresher course during 2002. F) Couples: If leader and co-leader are a couple or have some other close personal relationship, what are your back up plans if one if you cannot go and the other must stay behind as well? Or if you are in the field and both of you must return? Not applicable. G) Medical History: Both leader and co-leader need to have a recent copy of the AMC Confidential Medical Form on file at 5 Joy St. This form can be obtained online at http://snebulos.mit.edu/orgs/amc/ or call Katherine Byers at 617-523-0655 x333 to receive a hard copy by mail. Page 3 of 7 3/8/02 APPLICATION TO LEAD AN AMC MAJOR EXCURSION III. RISK ASSESSMENT A) Please assess the risks/hazards of your trip. Carefully consider each area of risk and how it may affect your trip with specific potential hazards. Then, devise a plan to attempt to prevent each hazard and to respond to it if it becomes necessary. Areas of Risk Climate/Terrain trail conditions, weather, etc. Potential Hazards Limited visibility due to fog. Prevention/Response Trails followed are popular trails, which will provide paths that should be easy to follow. If fog arises, the Leader and Co-Leaders have map-andcompass skills that permit safe return. Participants will be asked for map-and-compass knowledge in order to ascertain additional group skills. One hike will be over difficult terrain that requires hand holding and has steep drops. An alternate activity will be available for participants. If necessary, the hike will be cancelled. If participants reach the difficult area, an alternate route is available, or the group will retreat. Hypothermia. Hiking in England is often damp and in the 50s or 60s–ideal hypothermia weather. All participants will be advised of the signs of hypothermia and methods of avoidance (layered and non-cotton clothing, frequent drinking and snacks, etc.). Leader and Co-Leaders will remind participants each day of the potential. Escape routes have been identified for each hike. England is very similar to the US. The Participants Handbook will provide an overview on British culture. During the pre-excursion meeting, a discussion will be conducted on British culture. A commercial licensed coach will be rented for the duration of the trip to provide all road travel. Commercially licensed coaches in England must meet stringent government regulations, including providing insurance coverage for both the driver and passengers. Moderate experience and fitness is required. The pre-excursion meeting will include a day hike comparable to those on the trip. Activities during these pre-excursion events will be similar to those expected during the excursion. The pre-excursion meeting will also permit a pre-excursion evaluation of any group dynamics. Foreign Countries political concerns, crime, language translation None particularly. Transportation vehicles, drivers, insurance Driving. Participants skill level, health, group dynamics Page 4 of 7 3/8/02 APPLICATION TO LEAD AN AMC MAJOR EXCURSION B) Emergency Action Plan Before you leave for your trip, you will need to provide a list of participants and their emergency contacts in case something happens to someone in the field as well as an itinerary with phone numbers (where available) in case something happens at home. In the space below, please describe your plans for dealing with emergencies. Please use as much detail as possible and attach additional sheets if necessary. Where possible, if any problems occur, the group will attempt a self-evacuation. If the problem looks serious but not incapacitating, the group will rest for a short time (15-30 minutes or as necessary) in order to evaluate the situation as well as eat and drink (all participants will be required to carry high-energy emergency rations and extra water; even if some participants use these prior to the emergency, the leaders will have additional rations). If the situation does not permit a self-evacuation, one of the Leaders will accompany half of the group (which should be between 5 and 10 people) to obtain rescue by following the evacuation route to the nearest certain phone (there are many public phones and residential locations in the areas visited). The other half of the group will stay with the incapacitated person(s). The group will carry sufficient equipment (bivvy bag, stove, emergency rations, etc.) to support the incapacitated party and support group for at least 12 hours. Once evacuated from the backcountry, the Leaders will defer to local medical authorities. Emergency Communication (phone contacts, language, documentation) Local medical, backcountry rescue, police, fire: 999. Local backcountry rescue details are available at http://homepages.enterprise.net/ldsamra. Evacuation (out of backcountry location, out of foreign country) All participants will be provided with emergency contact information, including in-country emergency services (both standard and backcountry rescue) as well as home contact information for the Leaders. Local medical authorities (see above) will be used where possible. Medical Care (local medical facilities – location and quality) England has world-class medical facilities, including experienced rescue services within the areas entered. All participants will be advised that they are responsible for medical and evacuation insurance. IV. COST INFORMATION Your application to lead a trip will not be accepted if a detailed cost analysis is not attached. A) Estimated cost per participant with minimum # $2,680 Cost per participant to be listed in AMC Outdoors $2,690 Page 5 of 7 with maximum # $2,457 3/8/02 APPLICATION TO LEAD AN AMC MAJOR EXCURSION B) What deposits are required in advance? $750 at the time of application C) What is the latest date for you to cancel and get a full refund? May 31, 2004 D) What are your plans if you do not get the required number of people? Provided 12 participants register, the trip will be run with the Leaders paying necessary costs. V. PRIVATE TRIPS Are you currently (up to and including the time frame of this proposed trip) leading trips that are “private,” i.e. not sponsored by the AMC? No VI. AMC OUTDOORS INFORMATION Detailed instructions on trip listings available at http://snebulos.mit.edu/orgs/amc/ A) Request month for trip to first appear in AMC Outdoors First Issue: November 2003 Date to be pulled Last Issue: July/Aug. 2004 B) Please provide an electronic copy of both the long (150 words maximum) and short form (50 word maximum) announcements. Note that the word count stops at the phrase “For info.” *** Caribbean trips use only short form Long Form We will spend 8 days hiking (6-10 mi./day) in The Lake District region of England, one of the most beautiful places in Europe. This area abounds with lakes and cragged peaks that soar thousands of feet upwards from sea-level valleys. After enjoying spectacular trails, we will return to experience hospitality with that British touch: relaxing in the local pub or wandering through the eclectic shops. This will be an experience of a slower past with quiet country lanes, ivy-clad inns, and sheep-dog trials. If an experience of hiking within a hiker’s paradise is not enough, we will also visit remnants of ancient times: Hadrian’s Wall, a World Heritage Site, which the Roman’s erected to keep out the northern hordes, and Castlerigg Stone Circle, a stone circle older than Stonehenge. Approx. cost: $2,690 incl. air/ground trans., lodging, fees, most meals, and some entertainment. Short Form Classic hiking (6-10 mi./day) in The Lake District region of England, one of the most beautiful places in Europe. After hiking spectacular trails, experience traditional British hospitality relaxing in the local pub or perusing eclectic shops. Also, visits to Roman and pre-Roman sites. Approx. cost: $2,690 all inclusive. Information Tag For information, send e-mail or large SASE (104c stamp) to L. Paul Davis (pauld@worldlynx.net (preferred), 117 David Rd., Bala Cynwyd, PA 19004, 610-667-1144). (CLs Diane Carroll and Bob Cooper) Page 6 of 7 3/8/02 APPLICATION TO LEAD AN AMC MAJOR EXCURSION VII. TRIP PROPOSAL AND APPROVAL PROCESS Trips cannot come before the Major Excursions Committee for approval unless the forms are completely filled out and received three weeks prior to MEC meetings for review. Please make sure you have filled out all appropriate sections of this form completely and included any necessary attachments. First aid certifications Leader Qualification information AMC Medical form for both leaders Detailed cost information AMC Outdoors listings By turning in this proposal, you are agreeing to the following: I have read the Major Excursions Leader Handbook and I agree to follow all policies and procedures of the Major Excursions Committee and the Appalachian Mountain Club in preparing for and conducting my major excursion. Thank you for completing this form! Copies of first aid certifications and medical forms should be submitted in hard copy only. These can be faxed (marked attn: Katherine Byers) to 617-523-0722 or mailed to the Major Excursions, 5 Joy St. address below. Email submissions of this trip proposal form are preferred. Email should be sent to both of the following two addresses: T. Walley Williams, Major Excursions Committee Chair at twalley.williamsiii@verizon.net Katherine Byers, AMC Outdoor Leadership Coordinator at kbyers@amcinfo.org Or, if you unable to send electronically, please mail a hard copy to the following two addresses: T. Walley Williams, III Chair, AMC Major Excursions Committee 71 Orchard St. Belmont, MA 02478-3509 Major Excursions Appalachian Mountain Club 5 Joy St. Boston, MA 02108 Questions? Call T. Walley Williams at the above email or 617-484-1877. He can put you in touch with an experienced MEC mentor who can help you with trip planning. Page 7 of 7 3/8/02