The Canyons Of Southern Utah
Jack Schempp/Herb Kingsbut\ry
May 14 - 22
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:
The Canyons Of Southern Utah
B)
C)
D)
E)
Jack Schempp
Herb Kingsbut\ry
May 14 - 22
Day Hiking
Leader:
Co-Leader(s):
Dates:
Type of Trip:
Total # of days:
F) Participants: (not counting leaders) Minimum: 11
9
Maximum: 12
G) Advertised Cost: $1050.00
Revised 04/09/03
Pg. 1 of 8
Application to Lead an AMC Major Excursion
Application Submitted 07/15/16
The Canyons Of Southern Utah
Jack Schempp/Herb Kingsbut\ry
May 14 - 22
2. TRIP DETAILS
A) Executive Summary: Brief outline of trip and trip activities.
We will be day hiking in several National Parks:Zion, Bryce, Escalante and Capitol Reefs.
B) Accommodations: Please describe your plans for accommodation(s).
Participants will be housed in Cabins with standard amenities and motels. The lodges will
provide breakfast, we will prepare our own lunches and dine at local restaurants in the evening.
C) Permits: Does the trip require special permits (required on all U.S. federal lands
US Park permits are required.
Yes
D) Equipment: Does the trip require special/technical equipment?
No
E) Conservation/Education/Recreation:: Given that the AMC Mission Statement is as follows
Founded in 1876, the Appalachian Mountain Club is America's oldest conservation and recreation
organization. We promote the protection, enjoyment, and wise use of the mountains, rivers, and trails
of the Appalachian region. We believe that the mountains and rivers have an intrinsic worth and also
provide recreational opportunity, spiritual renewal, and ecological and economic health for the
region. We encourage people to enjoy and appreciate the natural world because we believe that
successful conservation depends on this experience. We fulfill our mission through the three
interconnecting pillars of the AMC: conservation, education, and recreation
How will this major excursion meet this mission of conservation, education, and recreation?
For examples, please see <http://snebulos.mit.edu/orgs/amc/mission/>
We will visit/hike numerous canyons and study the geology and rock formations as well as
ancient native american villages. We will also attend a few Park service talks regarding local
natural history.
F) Outfitters: Will this trip require an outfitter?
No
Name:
Safety record:
Liability insurance:
Emergency response:
Revised 04/09/03
Pg. 2 of 8
Application to Lead an AMC Major Excursion
Application Submitted 07/15/16
The Canyons Of Southern Utah
Jack Schempp/Herb Kingsbut\ry
May 14 - 22
3. LEADER INFORMATION
A) Contact Information:
Leader:
Jack Schempp
47 Arbor Drive
Providence, RI 02908
(home) 401 331 4553
(work) same
(e-mail) jschempp1@msn.com
Co-Leader:
Herb Kingsbury
40 Goodwin Rd
Kittery Pt, ME 03905
(home) 207 439 6449
(work) none
(e-mail) herbkings@cs.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.
Leader:
CPR: 10/8/04 will recertify in 2005
WFA: 3/28/06
Other:
Co-Leader:
CPR: <1/06
WFA: <1/25/06
Other:
If CPR and/or WFA certifications will expire before your trip starts, describe your plans
for re-certification:
<Will contact Red cross in Providence in spring of 2005.
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. Mt Rainier , Hikes 04, 03
2. Canadian Rockies, Hikes, 04, 03, 02, 01
3 Mt Hood/Columbia Gorge Hikes 00,99
2.
3.
Others:
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Pg. 3 of 8
Application to Lead an AMC Major Excursion
Application Submitted 07/15/16
The Canyons Of Southern Utah
Jack Schempp/Herb Kingsbut\ry
May 14 - 22
D) Scouting:
Have you or your co-leader led this trip before or traveled in the area?
<I spent 5 days hiking in these parts in May 04
Yes
E) Special Experience:
Are any special skills or experience on the part of the participants required?
<If "Yes" please describe>
No
F) Couples:
Do the Leader and Co-leader have a significant personal relationship?
<If "Yes" please detail plans if one party cannot go>
No
Revised 04/09/03
Pg. 4 of 8
Application to Lead an AMC Major Excursion
Application Submitted 07/15/16
The Canyons Of Southern Utah
Jack Schempp/Herb Kingsbut\ry
May 14 - 22
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: <Trail conditions, weather, etc.>
Response:
<Trails are somewhat better than Whites. We slow down over rough spots.
We have not experienced rain or high winds but we require hikers to carry rain gear, a warm
layer, two quarts of water, plenty of food.
B) Foreign Countries
Potential Hazards: <Political concerns, crime, language translation.>
Response:
<Prevention or response to identified risks>
C) Transportation
Potential Hazards: <We use a 7 passenger van and an 8 passenger Suburban. They are stable
vehicles. We carry full insurance. Also carry an AAA card in the event road service is necessary.
Response:
<
D) Participants
Potential Hazards: <We monitor hikers frequently to make sure that they are ok and remind
them to drink plenty of water. We also urge them to attend to minor foot problems promptly
provide examinations and first aid suppies if necessary.
Response:
E) Other
Potential Hazards: <Conditions unique to this trip None
Response:
<Prevention or response to identified risks>
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
<We carry cell phones. On the first day we meet with hikers that have medical training and
briefly walk though emergency assignments. We also discuss emergency procedures with the
group.
B) Evacuation
<We hike in National Parks and comply with their instruction if evacuation is necessary.
Revised 04/09/03
Pg. 5 of 8
Application to Lead an AMC Major Excursion
Application Submitted 07/15/16
The Canyons Of Southern Utah
Jack Schempp/Herb Kingsbut\ry
May 14 - 22
C) Medical Care
<The Park Ranger Stations witin 10 - 20 miles of our trail heads. Park Emergency personnel
will suggest appropriate medical facilities or hospitals as required.
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 04/09/03
Pg. 6 of 8
Application to Lead an AMC Major Excursion
Application Submitted 07/15/16
The Canyons Of Southern Utah
Jack Schempp/Herb Kingsbut\ry
May 14 - 22
6. COST INFORMATION
A) What deposits are will be required from airlines, hotels, outfitters, etc. (and when):
None
B) What is the latest date for you to cancel and get a full refund? :
C) What is the value of the deposit you will require of the participants?
$ 350
D) What will be your cancellation policy for the participants?
Full refund if a qualified replacement is available. Otherwise the share of trip fixed expences
will be deducted from the refund. No participant will be charged more due to a cancelation.
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?
Yes
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 !
Revised 04/09/03
Pg. 7 of 8
Application to Lead an AMC Major Excursion
Application Submitted 07/15/16
The Canyons Of Southern Utah
Jack Schempp/Herb Kingsbut\ry
May 14 - 22
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.

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:
Stacia Zukroff, Major Excursions Committee Chair at <mecchair@amcboston.org>
Heidi Reilly, AMC Travel Programs Coordinator at <hreilly@amcinfo.org>
Or, if you unable to send electronically, please mail a single hard copy to:
Heidi Reilly
Appalachian Mountain Club
Five Joy Street
Boston, MA 02108
Questions? Contact Stacia Zukroff at <mecchair@amcboston.org> or 617-795-1651.
She can put you in touch with an experienced MEC mentor who can help you with trip planning.
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Application to Lead an AMC Major Excursion
Application Submitted 07/15/16