OLYMPIC NP: PACIFIC COAST RAINFOREST WILDERNESS BACKPACK
7/16/08 -7/26/08
Erik Madsen/Len Weiss
SUMMARY OF TRIP INFORMATION
Title of trip
Leadership
Location(s)
Dates
Type of trip
check all that apply
OLYMPIC NP: PACIFIC COAST RAINFOREST WILDERNESS BACKPACK
Leader Erik Madsen
Co-leader Len Weiss
Olympic NP, WA
7/16/08 -7/26/08
Total # of days 11
Hiking
Downhill skiing
Kayaking
Backpacking
Cultural
Road biking
Nordic ski
Mountain biking
Snorkeling
Other – please describe
Number of participants
Advertised cost
Airfare range if not included
Smaller trips and leader
subsidization
Max 10
Min 5
$ 1,550
Does it include airfare? Yes
No
$ 500
Is this proposal for a small group trip – i.e., less than 14 participants and 2 leaders
or 7 participants and 1 leader? Yes
No
If yes, why is a small group proposed? It would go against the principles of the
AMC and The NPS to have groups over 12 in size, since they are viewed to have a
negative impact on the environment.
If a participant fee increase of more than 15% is proposed, please explain
why? 20%: Leader/s do an enormous amount of work in quartermastering a
backpacking trip. Tasks include, the gathering, maintenance, aquisition, and repair of
shelter, cooking, and emergency equipment. Also a significant undertaking is the
creation of a menu, shopping list, shopping, dehydration, and packaging of meals. On
the trip the leaders are technical experts in the safe use of all of the trip equipment.
Leaders are also technically competent in the use of compass, topographical maps, and
tide charts. Overall, the trip leader are required to to perform many complex technical
tasks. Furthermore, trip participants are reliant upon the technical expertise of the
leaders.
LEADER AND CO-LEADER INFORMATION
Leader name
Leader address
Leader email
Leader phone
Wilderness first aid training
CPR training
Prior leading experience
Trip one
Trip two
Erik Madsen
70 Oak Hill DR, Bristol, CT 06010-2438
EMadsen2004@yahoo.com
Home 860-314-0125
Work 860-418-6012
WFA
AWFA
WFR
Expiration: Will renew by 3/31/08
CPR
BLS
Expiration: 8/1/2009
Please list the last three longer (5+ day) trips you have led for the AMC including
destination, type of trip, 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.
CoLeader, 2007, August, Hiking, Canadian Rockies, 15 Participants.
Leader, 2006, May, Hiking, Utah, 18 Participants.

To lead a major excursion you must have current CPR and WFA at the time of your trip (or AWFA for all
backcountry trips). If you do not have the required level of certification at the time you submit your proposal or it will
expire before the date of your trip, you will need to make arrangements to recertify in a timely manner.

Revised 7/15/2016
Major Excursions Trip Proposal Form, page 1 of 5
OLYMPIC NP: PACIFIC COAST RAINFOREST WILDERNESS BACKPACK
7/16/08 -7/26/08
Erik Madsen/Len Weiss
Leader, 2004, August, Backpacking, New Hamshire, 5 participants.
Trip three
Leader, 2007, June, July, August, Backpacking(4-5 days), New Hampshire, 7-9
Other related trip experience
Participants.
Co-leader name
Co-leader address
Co-leader email
Co-leader phone
Wilderness first aid training*
CPR training*
Prior leading experience
Scouting
Have either of you led this trip
before or traveled to this
area?
Languages
Does either the co-leader or
leader speak the local
language?
Couples
Do the leader and co-leader
have a significant personal
relationship?
Private trips
Do either of you lead trips that
are private - not sponsored by
the AMC?
Len Weiss
46 Hawthorne RD, Brookline, MA 02445-7730
lenweiss@rcn.com
Home 617-277-8403
Work
WFA
AWFA
WFR
Expiration: 11/2008
CPR
BLS
Expiration: Will renew before 12/31/07
If you are a new co-leader you must submit an application to be a major excursions
leader or co-leader prior to submitting this application.
Yes
No
If yes, please describe below:
CoLeader has hiked on the Pacific Coast in areas that we will be backpacking.
Co-leader: Yes
No
Leader: Yes
No
Not applicable:
Yes
No
If yes, please list who has agreed to be your back-up in case one or
both of you need to drop out. This is required for approval!
Yes
No
If yes, please note that you cannot advertise AMC and private trips
together unless there is a clear distinction between the two in any marketing
materials you send out.
LOGISTICAL DETAILS OF TRIP
Executive summary
Please provide a brief
description of the trip and the
activities planned.
Accommodations
Please describe your plan for
accommodation(s)
Meals
Please describe your plan for
providing meals
Permits or permissions
Does the trip require special
permits or permissions?
(required on many U.S.
federal lands and national
parks)
Special equipment
Revised 7/15/2016
Fly to Seattle.
Drive to Olympic N.P
7 Day Backpack along wilderness coast.
In motel on 5th and 7th night.
One day of cultural touring in Seattle.
Fly out of Seattle.
(This trip intentionally overlaps the Mount Olympus trip BP. Participants from this trip
may register for that trip, and seemlessly extend their adventure. See Mount Olympus trip
for details.)
5 nights camping on coast
3 nights in Seattle hotel
2 nights in Forks motel
Backpacking meals to be prepared by leaders prior to departure, and additional shopping
to be done in WA. All other meals to be in restaurants whenever possible.
Yes
No
If yes, please describe below what you will need to do to obtain them:
Complete Wilderness Camping Permit Reservation Request.
If no, please describe the process you went through to find out that they were not
required:
Yes
No
If yes, please describe below what type of equipment and how you
Major Excursions Trip Proposal Form, page 2 of 5
OLYMPIC NP: PACIFIC COAST RAINFOREST WILDERNESS BACKPACK
7/16/08 -7/26/08
Erik Madsen/Len Weiss
Does the trip require special
will ensure that people know how to use it:
equipment?
Participants will be educated by the Leaders in the safe use of camp stoves, and water
filtration equipment.
Special experience
Yes
No
If yes, please describe below what type of experience? Also describe
Does the trip require special
how you will ensure that the participant has this experience?
skills on the part of the
Participants must be physically and mentally fit to do backpacking, and have experience.
participant?
The trip application, the interview screening process, the pretrip activity all help to assure
the right participants are selected.
Pre-trip activities
Yes
No
If yes, please describe below what you will do:
Do you plan to get your group Either a day hike or weekend backpacking trip.
together before the trip for an
activity or social event?
Conservation, education and Leaders will disseminate to participants information about the natural environment being
visited, and capitalize on educational opportunities during the trip.
recreation
How will this major excursion
meet the mission of the AMC?
www.outdoors.org/about/
mission.cfm
TOUR OPERATOR AND GUIDE SERVICE INFORMATION
Will this trip require a tour
operator or guide service
during part, or the entire
trip?
Name of tour operator/guide
service
Tour operator website
Safety record
Please provide information
about their safety record.
Insurance
Do they have liability
insurance?
Emergency response
Please describe the outfitters’
response plan in the case of an
emergency.
Yes
No
Please describe their services. If you are using a tour operator for the entire trip,
please describe why you will be using them rather than doing this trip on your own:
Maximum amt: $
Yes
No
Liability? Yes
No
Are they willing to list AMC as an
additional insured?
RISK ASSESSMENT
Please assess the risks and hazards of your trip. Carefully consider each area of risk and how it may affect your trip.
Devise a plan to prevent each hazard and to respond to it if it becomes necessary. Please be very specific for each section if
applicable.
Trail conditions, river crossings, weather, wildlife (bears, snakes, etc.)
Climate/terrain
Potential hazards
Black bears/river crossings/ tides/ slippery rocks/ lightning
Response
Follow NPS bear proceedures/use rope to cross/use tide charts/have flexible soft soled
boots/ avoid exposed areas in storm
Political concerns, crime, language translation, terrorism
Foreign Country
Potential hazards
Response
Road conditions, drivers, insurance
Transportation
Potential hazards
Accident
Response
Have first aid/CPR training, first aid kit, and collision coverage on vehicles.
Revised 7/15/2016
Major Excursions Trip Proposal Form, page 3 of 5
OLYMPIC NP: PACIFIC COAST RAINFOREST WILDERNESS BACKPACK
7/16/08 -7/26/08
Erik Madsen/Len Weiss
Level of fitness, screening concerns, experience with equipment or activity
Participants
Potential hazards
Lack of adaquate physical, mental, fitness and backpacking experience
Response
See Logistical Details of Trip: Special Experience Above
Conditions unique to this type of trip
Other
Potential hazards
Response
EMERGENCY ACTION PLAN
Please describe your plans for dealing with emergencies. Use as much detail as possible, and list any special
communications equipment you may need to ensure the safety of your participants. DO NOT LEAVE THIS SECTION
BLANK
Leaders will have on trip emergency contact information for the local emergency
Emergency communication
Phone contacts, language,
responders, participant emergency contacts, AMC MEC emergency contact information.
documentation, distance from
emergency services
Comprehensive First Aid Kit
Emergency equipment
What sort of emergency first
aid or communication
equipment (satellite phone,
two-way radios) do you plan
to use, if any?
Leaders will always know the best route of evacuation during the trip. 911 will be called
Evacuation
Please describe your plan for
upon reaching civilization if needed.
evacuation from the
backcountry location if
applicable?
Forks, WA has basic medical facilities, Large hospitals exist in Seattle, accessible via
Medical care
Please describe the medical
911.
care available in the area(s)
where you will be traveling
and list names and telephone
numbers for these facilities.
COST AND BUDGET DETAILS
Deposits
What deposits will be required
by airlines, hotels, tour
operators, etc., and when?
Refunds
What is the latest date you can
cancel and still receive a full
refund?
Participant deposit
What are the initial deposit
and your schedule of
payments?
Cancellation policy
What will your cancellation
policy be for the participants?
Minimum numbers
Will you still run the trip if you
do not get the minimum
number?
Revised 7/15/2016
First nights lodging as deposit 30 day prior to trip.
30 days prior to trip.
$1,000 payment upon acceptence. Balance due by April 1, 2008.
Prior to April 1, 2008 full refund minus administrative fee of $75. April 1, 2008 to June
16, 2008, same as above, but subtract unrefundable expenses. After June 16, 2008, no
refunds unless approved waiting list candidate can take persons place, and all above
restrictions apply.
Yes
No
If yes, please describe conditions:
Major Excursions Trip Proposal Form, page 4 of 5
OLYMPIC NP: PACIFIC COAST RAINFOREST WILDERNESS BACKPACK
7/16/08 -7/26/08
Erik Madsen/Len Weiss
Reference web links:
MEC Home Page:
Forms:
Deadlines:
Club House:
http://snebulos.mit.edu/orgs/amc/
http://snebulos.mit.edu/orgs/amc/application/
http://snebulos.mit.edu/orgs/amc/listings
amcexcursions@outdoors.org
E-Mail Addresses:
Club House:
MEC Chair:
amcexcursions@outdoors.org
mecchair@amcboston.org
Revised 7/15/2016
Major Excursions Trip Proposal Form, page 5 of 5