APPLICATION TO LEAD AN AMC MAJOR EXCURSION

advertisement
M. Dean Fenton/to be announced
June 26 July 3
APPLICATION TO LEAD AN AMC MAJOR EXCURSION
(Use the F1 key to summon help for most fields)
(Forms and General Information: http://snebulos.mit.edu/orgs/amc/ )
1. SUMMARY INFORMATION
A) Trip Title:
B)
C)
D)
E)
Leader:
Co-Leader(s):
Dates:
Type of Trip:
M. Dean Fenton
to be announced
June 26 July 3
Day-hikes
Total # of days:
F) Participants: (not counting leaders) Minimum: 20
14
Maximum: 20
G) Advertised Cost: $1,795
2. TRIP DETAILS
A) Brief outline of trip and trip activities.
Slovenia in the Karavanke Mountains that separate Slovenia and Austria. These Mountains
are known locally as the Slovenian Alps. The trip will headquarter in the village of Bled on Lake
Bled
B) Permits: Does the trip require special permits (required on all U.S. federal lands
No
C) Equipment: Does the trip require special/technical equipment?
No
D) Educational Aspect:
Discussions of Alpine Geology
E) Outfitters: Will this trip require an outfitter?
No
Name: Russell Tours has made the arraingements for this trip. Their experience in leading
many trips and their experience in Slovenia has and will continue to provide valuable
information. Russell tours is mostly participating as a knowledgeable Travel Agent.
Safety record:
Liability insurance:
Emergency response:
3. LEADER INFORMATION
Revised 08/25/03
Pg. 1 of 7
Application to Lead an AMC Major Excursion
M. Dean Fenton/to be announced
June 26 July 3
A) Contact Information:
Leader:
M.Dean Fenton
94 Laurel Trail>
Glastonbury, CT 06033>
(home) 860 633 5266
(work) 860 633 5266
(e-mail) mdeanfenton@hotmail.com
Co-Leader:
To be announced
<Street Address>
<City, State, Zip>
(home) <home telephone>
(e-mail) <e-mail address>
(work) <work telephone>
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:
CPR: June 2004
WFA: AWFA Spring 2004
Other: registered for SOLO WFA November 2003 Berkshire Chapter
Co-Leader:
CPR: <Expiration Date>
WFA: <Expiration Date>
Other: <Describe course; expiration date>
If CPR and/or WFA certifications will expire before your trip starts, describe your plans
for re-certification:
I have registered and paid for the WFA SOLO training in November given by the
Berkshire Chapter AMC
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”.
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. Cruise Hike to Canada 7 days Sept 2003 leader 5 people
2. Presidential White Mountains Hut Hike July 2003 5 days leader 7 people
3. Falls and Foliage October 2003 5 days White Mountaind leader>
Others: Blue Dot Trail Discovery 4 days December 2003.
I have lead many University, Public School and AMC trips.I have traveled to many countries.
I speak some Spanish. I am a leader for a number of hiking Clubs.
Revised 08/25/03
Pg. 2 of 7
Application to Lead an AMC Major Excursion
M. Dean Fenton/to be announced
June 26 July 3
D) Scouting:
Have you or your co-leader led this trip before or traveled in the area?
There is a pre trip evaluation on site .
No
E) Special Experience:
Are any special skills or experience on the part of the participants required? Yes
Participants will be screened to determine the abality of the person to complete the scheduled
hikes.
F) Couples:
Do the Leader and Co-leader have a significant personal relationship?
<If "Yes" please detail plans if one party cannot go>
No
4. RISK ASSESSMENT
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.
A) Climate/Terrain
Potential Hazards:
Response:
Trail conditions, weather, etc.
Staying on trails, staying together, following good hiking parctices by
leaders and participants.Wear good hiking boots and have proper clothing.. Have experience
hiking in simular conditions and terraine
B) Foreign Countries
Potential Hazards: <Political concerns, crime, language translation.>
Response:
<Foreign Countries:
Less hazards than most major US cities. Be street smart.Prevention or response to
identified risks. Planned hikes and advoidance of any dangers A hand book for emergency terms
will be carried by the leaders. Slovenia is one of the safest countries in the world. Even the streets
are clean of graffiti. Police are friendly and the people are welcoming. The biggest risk could be
theft from other backpackers...
C) Transportation
Potential Hazards: <Vehicles, dirvers, insurance>
Response:
Van transportation within Slovenia. Large Passanger vans will not
be used. The driving conditions are good.
D) Participants
Potential Hazards: <Skill level, health, group dynamics>
Response:
Anyone with physical limitations will be refused participation. Each
participant will be evaluated as to theis abalities prior to their being accepted into the program
E) Other
Potential Hazards: <Day Hikes Conditions unique to this trip>
Revised 08/25/03
Pg. 3 of 7
Application to Lead an AMC Major Excursion
M. Dean Fenton/to be announced
June 26 July 3
Response:
<Difficult terraine will be advoided. Glaciers, areas of snow slides or other
dangerious conditions will not be attempted.
Consular Section
American Embassy, Ljubljana, Slovenia
Located at 31 Prešernova, 1000 Ljubljana
(Map)
Telephone +386-1-200-5595 or 200-5599
Fax +386-1-200-5535
email: Consular@usembassy.si
American Citizen Emergencies
(after-hours, weekends, holidays)
+386-1-200-5556
+386-1-200-5557
Trip and International medical insurance will be recommonded.
5. EMERGENCY ACTION PLAN
Please describe your plans for dealing with emergencies. Please use as much detail as
possible and attach additional sheets if necessary.
A) Emergency Communication
The official language is Slovene. Most young Slovenians speak a little English, while the
older speak some German. Along the coast Italian is often seen as the official language. Phone
emergency numbers are 112 and 113
B) Evacuation
Club (AMZS) has a 24hr emergency
service >
Revised 08/25/03
Pg. 4 of 7
Application to Lead an AMC Major Excursion
M. Dean Fenton/to be announced
June 26 July 3
C) Medical Care
Medical Care: Foreigners are entitled to emergency hospital care. All medical centers have
English speaking staff, as do most Pharmacy. Medical facilities are very good.
Tap water is drinkable The US Dept of State says that : Adequate medical care is readily
available.
MEDICAL INSURANCE: The Department of State strongly urges Americans to consult with
their medical insurance company prior to traveling abroad to confirm whether their policy applies
overseas and whether it will cover emergency expenses such as a medical evacuation. U.S.
medical insurance plans seldom cover health costs incurred outside the United States unless
supplemental coverage is purchased. Further, U.S. Medicare and Medicaid programs do not
provide payment for medical services outside the United States : Presernova Cesta
Hp Pharmacy: Presernova Cesta 36, M-F 7.00-19.30, Sa7.00-13.00. Police 112 Emergency
113 nationally>
Before you leave for you 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.
Revised 08/25/03
Pg. 5 of 7
Application to Lead an AMC Major Excursion
M. Dean Fenton/to be announced
June 26 July 3
6. COST INFORMATION
A) What deposits are will be required from airlines, hotels, outfitters, etc. (and when):
a $600 deposit is required by March 30 and full payment by May 30
B) What is the latest date for you to cancel and get a full refund? :
30 Days
C) What is the value of the deposit you will require of the participants?
$ 600
D) What will be your cancellation policy for the participants?
Participants must notify 30 days before the trip to cancel
E) Will trip run if minimum participant count not met?
<If "Yes" describe conditions>
No
7. 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
8. AMC OUTDOORS INFORMATION
Please see <http://snebulos.mit.edu/orgs/amc/info/Trip_Notice_Rules.html> for the current rules
and schedule for submitting notices for AMC Outdoors. E-mail both the long (150 words
maximum) and short form (50 word maximum) trip announcements to goeke@space.mit.edu ,
preferably in plain text format, at the same time you submit the trip application. Although the trip
notices travel a different route to the Committee, it helps to have the notices on the web site when
the trip is reviewed.
It your trip notice is somewhat preliminary at this time, that’s OK. You have plenty of
opportunity to change it before the publication deadline. If you don’t want to have the first (long)
notice appear at the normal time – see the above referenced rules – include your special request
in the body of the e-mail containing the trip notices.
After you trip is approved, please check your trip announcements as posted on the Major
Excursions web site: http://snebulos.mit.edu/orgs/amc/ ; we cut-and-paste directly from this site
to AMC Outdoors !
9. 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. Note that the following
forms are also required to complete the application; see the Handbook section of the Major
Excursions web site for forms and instructions.
Revised 08/25/03
Pg. 6 of 7
Application to Lead an AMC Major Excursion
M. Dean Fenton/to be announced

June 26 July 3
Leader Qualification information

Detailed cost information
 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 on the Major
Excursions web site or call Heidi Reilly at 617-523-0655 x356 to receive a hard copy by mail.
 Copies of first aid certifications and medical forms should be submitted in hard copy only.
These can be faxed (marked attn: Heidi Reilly) to 617-367-8878 or mailed to the Major
Excursions, 5 Joy St. address below.
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.

Please save and forward your electronic document in the following format:
Leader’s Last Name, Trip destination-Trip Activity (if applicable), Trip Start date.
For example: Zukroff New Zealand Hiking 12.26.03.doc
Email should be sent to both of the following two addresses:
T. Walley Williams, Major Excursions Committee Chair at <vze2g9bb@verizon.net>
Heidi Reilly, AMC Travel Programs Coordinator at <hreilly@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.
Revised 08/25/03
Pg. 7 of 7
Application to Lead an AMC Major Excursion
Download