Trip # Assigned: ___________ Leader Name: Carl Rosenthal Destination: New Mexico APPLICATION TO LEAD AN AMC MAJOR EXCURSION 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: The Rocky Mountains of New Mexico B) Type of Trip: Day-hiking C) Date: Start: June 25, 2005 End: July 3, 2005 Length of Trip: 9 days D) Participants: (not counting leaders) Minimum # 10 Maximum # 16 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. Day-hiking in northern mountains of New Mexico. Fly to and from Albuquerque. Stay in motels. Rent cars to travel. Group dinners included in price. 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? Education: geology, history of northern New Mexico, wild flowers. Recreation: hiking 3/8/02 I) Outfitters: Will this trip require an outfitter? Yes No Why or why not? Leaders have led other trips like this one before Who are they? N/A What is their safety record? N/A Do they have liability insurance? N/A Can they provide a certificate of insurance listing AMC as an additional party insured? N/A How do they handle emergencies? N/A II. LEADER INFORMATION A) Contact Information Leader: Carl Rosenthal Co-Leader: Anne Gwynne Address: 19 Conforte Hill RD Address: 19 Island Road Bridgton ME 04009 Concord, NH 03303 Home Phone: 207/647-4578 Home Phone: 603/753-4875 Work Phone: N/A Work Phone:N/A Email: crosenthal789@msn.com Email: Annegwynne@juno.com 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. Course Leader Exp. Date 11/04 11/04 Copy Attached Other cert.: Course Co-Leader Exp. Date Copy Attached 11/04 11/04 Other cert.: If copies of CPR and WFA or equivalent are not attached, please detail your specific plan to obtain this certification. C) Leader Experience and Training 3/8/02 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 from. 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. Big Bend & Guadalupe Nat’l Parks Day-hiking Apr. 2002 & 2003 18 Participants 2. Glacier-Waterton National Park (The Crown of the Continent) Day-hiking Jul-Aug. 2001 18 Participants 3. Sierras Day-hiking Jul-Aug. 2000 & 2003 18 Participants 4. Desert Southwest Day-hiking Sep. 2002 17 Participants D) Scouting: Have you or your co-leader led this trip before or traveled in the area? Yes If yes, please describe: Led similar trip in 2004 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? Have led many, many day hikes 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? Leaders do not have a close personal relationship 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. 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: 3/8/02 Potential Hazards Hyperthermia, sunburn, Prevention/Response See participants drink water, apply trail conditions, weather, etc. hypothermia, altitude sickness sunburn lotion, lip balm, carry adequate clothing, acclimatize gradually, descend if sick Foreign Countries: N/A political concerns, crime, language translation Transportation: Car rental, participants with vehicles, drivers, car insurance share driving insurance Participants: skill level, health, group dynamics Ask participants to contribute to group having a great trip, then they will have a great trip. Other: B) Emergency Action Plan 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. 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. Emergency Communication (phone contacts, language, documentation) Will be hiking in National Forests, will manage any accident scene, get help from Forest Rangers on trail or at Ranger Stations. If Rangers unavailable, call 911. Evacuation (out of backcountry location, out of foreign country) N/A Medical Care (local medical facilities – location and quality) Area Hospitals: Holy Cross Hospital 1397 Weimer Road, Taos, NM 87571 (505) 758-8883 St Vincents Hospital 455 Saint Michaels Drive, Santa Fe, NM 87505 (505) 983-3361 3/8/02 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 # $1500 with maximum # $1450 Cost per participant to be listed in AMC Outdoors $1500 B) What deposits are required in advance? Airfare, some motel deposits. C) What is the latest date for you to cancel and get a full refund? Before airfare purchase D) What are your plans if you do not get the required number of people? If we are close to ten people, we will ask each other participant if they still want to go on the trip. 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 October, 2004 Date to be pulled June, 2005 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.” D *** Caribbean trips use only short form 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 3/8/02 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 <vze2g9bb@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. 3/8/02 Long Form AMC Outdoors Notice Date Name of Trip Date of Trip Trip Number Leader Co-leader Description 3/8/02 Feb. 23, 2003 The Rocky Mountains of New Mexico June 25 to July 3, 2005 Carl Rosenthal Anne Gwynne Hike ~10 mi./day in the southernmost range of the Rocky Mountains, the Sangre de Cristo. We’ll see alpine lakes, tumbling streams, wildflowers and rugged peaks. A lot of the hiking will be above treeline with spectacular views. A highlight of the trip will be the opportunity to climb 13,161 foot Wheeler Peak, the highest point in New Mexico. We will fly to Albuquerque and continue on to Santa Fe and Taos, beautiful, historic cities we can explore and learn about after our day of hiking. Stay in nearby motels. Should be exp. hikers in good cond. $1,500 incl. air/ground trans., lodging, fees, dinners. For info: Carl Rosenthal (207-647-4578; crosenthal789@msn.com or Anne Gwynne(603-753-4875). Short Form AMC Outdoors Notice Date Name of Trip Date of Trip Trip Number Leader Co-leader Description 3/8/02 Feb. 23, 2003 The Rocky Mountains of New Mexico June 25 to July 3, 2005 Carl Rosenthal Anne Gwynne Hike ~10 mi./day. See alpine lakes, tumbling streams, wildflowers, rugged peaks. Much hiking above treeline, spectacular views. Opportunity to climb 13,161 foot Wheeler Peak, highest point New Mexico. Explore beautiful, historic Albuquerque, Santa Fe, Taos. Stay in motels. Should be exp. hikers in good cond. $1,500 incl. air/ground trans., lodging, fees, dinners. For info: Carl Rosenthal (207-647-4578; crosenthal789@msn.com or Anne Gwynne(603-753-4875). Cost Details Air Fare: $450. per person Vehicles: 1 vehicle (full size 4-door sedan) per 3 participants. 1 vehicle $390 per 8 days. When number of participants not divisible by 3, 1 compact per 2 participants, $320 per 1 days. Food: Dinners only - $20 per day per person 8 days. Motel: 2 persons per room $85 per room incl. tax, 8 nights. When number of participants is not even, some nights 3 will share a room at $95 per room. Gas, Entrance fees, Books, Postage, Phone: $50 per person AMC fee: 10% of land expenses Leader/Co-leader expenses: participants each pay 12.5% of leader/co-leader expenses 12% contingency Cost Summary per Participant with 16 participants: Air Fare: $450 + Vehicle rental: $130 + Dinners: $160 + Various fees: $50 + Motel: $340 = $1130 + 12.5% Leaders Expenses: $141. + AMC fee 10% of $680: $68 = $1339 + 12% Contingency: $161. = $1500. Published price = $1500. 3/8/02