Trip # Assigned: ___________ Leader Name: Carl Rosenthal Destination: New Mexico

advertisement
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
Download