Humanitarian Service Trip to Guatemala
Stacia Zukroff/N/A
June 6-14, 2008
SUMMARY OF TRIP INFORMATION
Humanitarian Service Trip to Guatemala
Leader Stacia Zukroff
Co-leader N/A
Antigua, Guatemala
June 6-14, 2008
Total # of days 9 days
Hiking
Downhill skiing
Kayaking
Title of trip
Leadership
Location(s)
Dates
Type of trip
check all that apply
Backpacking
Cultural
Road biking
Nordic ski
Mountain biking
Snorkeling
Other – please describe
Volunteering and service trip
Max 15
Min 12
$ 1795.00
Does it include airfare? Yes
$ 450-600 (leader will help arrange airfare)
Number of participants
Advertised cost
Airfare range if not included
No
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
Trip three
Other related trip experience
Co-leader name
Co-leader address
Co-leader email
Co-leader phone
Wilderness first aid training*
CPR training*
Prior leading experience
Scouting
Stacia Zukroff
28 Lakehill Avenue, Arlington, MA 02474
szukroff@yahoo.com
Home 781-648-5503
Work 443-433-6570
WFA
AWFA
WFR
Expiration: 05/2009
CPR
BLS
Expiration: 06/2009
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.
Hiking in the Canadian Rockies, 13 participants, August 5-13, 2007
Backpacking in the Arctic National Wildlife Refuge, 10 participants, June 9-23, 2007
Backpacking in Chilean Patagonia, 10 participants, Dec 06-January 07
N/A
Home
Work
WFA
AWFA
WFR
Expiration:
CPR
BLS
Expiration:
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:

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 4
Humanitarian Service Trip to Guatemala
Stacia Zukroff/N/A
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?
June 6-14, 2008
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
Does the trip require special
equipment?
Special experience
Does the trip require special
skills on the part of the
participant?
Pre-trip activities
Do you plan to get your group
together before the trip for an
activity or social event?
Conservation, education and
recreation
How will this major excursion
meet the mission of the AMC?
www.outdoors.org/about/
mission.cfm
Spend 9 days in Antigua, Guatemala doing 5 days of volunteer work in rural areas,
mostly with children. Will do walking tour of Antigua, half day volcano hike and give
people a free day to visit markets or do more hiking/touring.
Boutique hotels in Antigua
All breakfasts are included at hotel, and 5 of the lunches are provided on volunteer days.
Dinners are included in trip fee and will be eaten together as a group whenever possible.
Yes
No
If yes, please describe below:
Yes
No
If yes, please describe below what type of equipment and how you
will ensure that people know how to use it:
Yes
No
If yes, please describe below what type of experience? Also describe
how you will ensure that the participant has this experience?
Yes
No
If yes, please describe below what you will do:
A dinner or a local hike.
This is a humanitarian service trip, and the group we will be using, Ambassadors for
Children, does sustainable service projects around the world. We will be volunteering in
the spirit of the AMC, exploring the local culture and hiking a volcano.
TOUR OPERATOR AND GUIDE SERVICE INFORMATION
Will this trip require a tour
operator or guide service
Revised 7/15/2016
Yes
No
Please describe their services. If you are using a tour operator for the entire trip,
Major Excursions Trip Proposal Form, page 2 of 4
Humanitarian Service Trip to Guatemala
Stacia Zukroff/N/A
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.
June 6-14, 2008
please describe why you will be using them rather than doing this trip on your own:
Ambassadors for Children operates these service trips and has a good relationship
with local non-profits to provide us with the opportunity to do community service.
They will coordinate all volunteer activity, provide ground transporation and tour
guides.
Ambassadors for Children
www.ambassadorsforchildren.org
They have had no incidents or dealths on their trips
Liability? Yes
No
Maximum amt: $ Over $1,000,000
Are they willing to list AMC as an
Yes
No
additional insured?
They provide vehicles on call to transport to the local hospital. Participants will have
medi-vac insurance. We will be in urban settings except the half day climb up the
volcano.
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
Hike up volcano is not difficult, with no water crossings. It is rainy season, so there
could be some flooding.
Response
We will have a guide up the volcano who has done the hike many times. During rainy
season if it is unsafe to hike we will do other things.
Political concerns, crime, language translation, terrorism
Foreign Country
Potential hazards
Petty crime
Response
Antigua is one of the safest cities in Guatemala with a large tourism industry and police
force.
Road conditions, drivers, insurance
Transportation
Potential hazards
Rocky roads
Response
Vehicles are 4-wheel drive.
Level of fitness, screening concerns, experience with equipment or activity
Participants
Potential hazards
Moderate level of fitness needed
Response
Screen for people with some hiking experience and ability to walk a lot.
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
We will only be 45 minutes from Guatemala City with major airports and hospitals.
Emergency communication
Phone contacts, language,
Antigua also has hospitals. Trip is almost entirely urban
documentation, distance from
emergency services
Cell phones can be used. Trip leader will have one, and we will be accompanied pretty
Emergency equipment
What sort of emergency first
much from the time we arrive to when we leave. We will also have access to regular
aid or communication
telephones and 911-system.
Revised 7/15/2016
Major Excursions Trip Proposal Form, page 3 of 4
Humanitarian Service Trip to Guatemala
Stacia Zukroff/N/A
equipment (satellite phone,
two-way radios) do you plan
to use, if any?
Evacuation
Please describe your plan for
evacuation from the
backcountry location if
applicable?
Medical care
Please describe the medical
care available in the area(s)
where you will be traveling
and list names and telephone
numbers for these facilities.
June 6-14, 2008
AFC has contacts at the US embassy. No threats exist in Guatemala at the moment, so
evacuation except for medical reasons would be necessary.
Antigua has a lot of hospitals, many that cater to tourists. The major capital is only 45
minutes by car.
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?
AFC will need $500 per person upon registering. Final payment is due March 2008.
Airline tickets will be purchased by the participants directly with the help of the leader.
March 2008
$600
Money will be refunded if a suitable replacement can be found. A small $50 fee will be
charged as a cancellation penalty.
Yes
No
If yes, please describe conditions:
I would go with as few as 8 participants. AFC may have to charge slightly more for a
smaller number to cover fixed costs.
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 4 of 4