Day-hiking in Bryce and Zion National Parks
Jim Lindsley/Jane Gibbons
09/18/09-09/25/09
Major Excursions Trip Proposal Form
The following pages contain the application to lead an AMC Major Excursion. Please complete the form with as
much detail as possible, and attach additional sheets if necessary. Also include a detailed budget/costing sheet
that clearly shows all costs associated with your planned excursion. The trip proposal form and budget are due
two weeks prior to the MEC meeting in which it will be reviewed. Deadlines will be posted on the MEC leader
website (http://snebulos.mit.edu/orgs/amc/) and sent to you on the MEC leader listserv well in advance of the
meeting. The MEC will not accept late proposals unless the chair is notified in advance with a compelling reason.
Incomplete applications will be returned to you and not reviewed until complete, so please make sure to fill in all
applicable sections.
The application was created in a Microsoft Word protected document. To fill in each section click on the check
box and/or on the grey text box and start typing. The boxes will automatically get larger as you fill in text. If you
find that you need a lot of space to explain a section, please say “see additional attachment” and attach a separate
page.
In addition, the following are helpful during the review process, but need only be submitted after your proposal is
accepted:


50 and 150 word notices for the AMC Outdoors and www.outdoors.org. Please see the current rules http://snebulos.mit.edu/orgs/amc/listings/ and schedule for submitting notices for the AMC Outdoors.
Trip prospectus – without the application forms attached – in Microsoft Word or PDF format
Finally, we need to have on file at Joy Street, the following documents:



A completed confidential medical form for the leader and co-leader (after approval is given)
Copies of first aid and CPR certifications for leader and co-leader (before or after approval is given)
A completed application to be a co-leader if the co-leader is new (before proposal is submitted)
We will accept snail mail applications, but electronic forms are preferred. Please save and forward your
electronic document with the following naming convention:


Leader’s last name, trip destination, year of trip and what type of document it is (application, budget,
Outdoors listing or prospectus)
For example, Smith-New Zealand-2007-Application.doc or Smith-New Zealand-2007-Budget.xls
Revised 7/15/2016
Major Excursions Trip Proposal Form, page 1 of 7
Day-hiking in Bryce and Zion National Parks
Jim Lindsley/Jane Gibbons
09/18/09-09/25/09
Applications should be sent electronically to the MEC Chair, Stacia Zukroff, at mecchair@amcboston.org and to
dturner@outdoors.org. They can be mailed to: Travel Programs Coordinator, 5 Joy Street, Boston, MA 02108. If
you have any questions, please contact Stacia at: 781-648-5503 or mecchair@amcboston.org.
Revised 7/15/2016
Major Excursions Trip Proposal Form, page 2 of 7
Day-hiking in Bryce and Zion National Parks
Jim Lindsley/Jane Gibbons
09/18/09-09/25/09
SUMMARY OF TRIP INFORMATION
Day-hiking in Bryce and Zion National Parks
Leader Jim Lindsley
Co-leader Jane Gibbons
Bryce & Zion National Parks
09/18/09-09/25/09
Total # of days 8
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
Car Camping
Max 12
Min 6
$ 850
Does it include airfare? Yes
No
$ 400-500
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? For safety in numbers over somewhat
rugged terrain and opportunity to get compatible group for hiking styles.
If a participant fee increase of more than 15% is proposed, please explain
why?
Number of participants
Advertised cost
Airfare range if not included
Smaller trips and leader
subsidization
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
Jim Lindsley
20 Fairhope Road, Weston, MA 02493
lindsleyjr@aol.com
Home 781-373-5354
Work CP 617-448-2408
WFA
AWFA
WFR
Expiration: 06/2009
CPR
BLS
Expiration: 06/29/2008
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.
Bhutan: Land of the Thunder Dragon, trekking, 18 days, 10/13/07-10/31/07, 12
participants, co-led with Paul Davis, leader.
Torres del Paine, backpacking, 12/30/05-01/14/06, 12 participants, co-led with Paul
Davis, leader
Northeast Greenland Mini-Mountaineering, backpack, 07/04-21/03, co-led with
Francie Sparks
Boston H/B leader since 1990, leading numerous 4-season hikes and backpacks over
the years.

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 3 of 7
Day-hiking in Bryce and Zion National Parks
Jim Lindsley/Jane Gibbons
Co-leader name
Co-leader address
Co-leader email
Co-leader phone
Wilderness first aid training*
CPR training*
Prior leading experience
09/18/09-09/25/09
Jane Gibbons
42 Plummer School Road, Sweden, ME 04040
patnjane@wildblue.net
Home 207-647-3987
Work n/a
WFA
AWFA
WFR
Expiration: 05/2009
CPR
BLS
Expiration: needs renewing
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.
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?
Yes
No
If yes, please describe below:
co-leader has hiked in this area before and has tailored the trip based on this prior
experience.
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)
We shall travel to Bryce and Zion National Parks, by air and then van where we plan to
do hikes from about 5 to 8 miles on established trails.with 1500 to 2200 foot elevations
gains.
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
Special equipment
Does the trip require special
equipment?
Special experience
Does the trip require special
skills on the part of the
participant?
Revised 7/15/2016
Accomodations will vary between motels (3 nights) to car camping (4 nights).
Breakfasts and dinners will be purchased in restaurants on the nights and mornings we
have lodging, otherwise will be cooked in camp when we are car-camping. Lunches will
be assembled in the mornings to be eaten on the trails.
Yes
No
If yes, please describe below what you will need to do to obtain them:
There will only be park entrance and campground fees.
If no, please describe the process you went through to find out that they were not
required:
Contact of the National Parks.
Yes
No
If yes, please describe below what type of equipment and how you
will ensure that people know how to use it:
It depends on what is meant by special. Participants will need car camping and hiking
equipment (for warm to hot conditions). We shall only take participants who have had
previous camping and hiking experience.
Yes
No
If yes, please describe below what type of experience? Also describe
how you will ensure that the participant has this experience?
It is expected that they will be experienced hikers and campers, knowing the need for
water and sun-protection in a hot summer environment, as well as for a jacket in the
evening.
Major Excursions Trip Proposal Form, page 4 of 7
Day-hiking in Bryce and Zion National Parks
Jim Lindsley/Jane Gibbons
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
09/18/09-09/25/09
Yes
No
If yes, please describe below what you will do:
If feasible, we could have short hike and dinner together beforehand.
As many Major Excursions, it will increase the participants' awareness of some of the
unquely beautiful and rare environments on the planet and the need to preserve them for
the benefit of others in the future. The canyonlands should also provide a special
awareness of geological time and the concomitant fragility of our time and place in it,
hopefully encouraging a more global perspective on conservation and the need to address
climate change and resource preservation.
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:
Liability? Yes
No
Are they willing to list AMC as an
additional insured?
Maximum amt: $
Yes
No
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
Sunstroke and dehydration; slipping on a trail.
Response
All participants will be required to use sunscreen, wear sun protective clothing and hats;
to carry 2 or more liters of water; and wear suitable gear for hiking. Care will be
encouraged to watch for snakes and scorpions. There could be one water hazard in the
narrows of a slot canyon. We shall check the advisibility of that hike and shall choose a
different hike in case of danger.
Foreign Country
Potential hazards
Response
Transportation
Potential hazards
Response
Participants
Potential hazards
Response
Revised 7/15/2016
Political concerns, crime, language translation, terrorism
Road conditions, drivers, insurance
We shall drive 1 or 2 vans on highways and in the national parks; hence there is some
risk of a vehicular accident.
We shall drive with care and will have a license and insurance.
Level of fitness, screening concerns, experience with equipment or activity
There is little expected hazard apart from those covered under climate and terrain.
Participants will be screened for hiking experience and fitness level appropriate to this
trip.
Major Excursions Trip Proposal Form, page 5 of 7
Day-hiking in Bryce and Zion National Parks
Jim Lindsley/Jane Gibbons
Other
Potential hazards
Response
09/18/09-09/25/09
Conditions unique to this type of trip
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
The leaders plan to carry copies of each participant’s emergency contact and insurance
Emergency communication
Phone contacts, language,
information. Although it would be hoped that we shall have cell phone coverage, in any
documentation, distance from
case we shall not be far from a trailhead and transportation in case emergency help will
emergency services
need to be summoned.
A first aid kit based on the guidelines from AWFA will be carried.
Emergency equipment
What sort of emergency first
aid or communication
equipment (satellite phone,
two-way radios) do you plan
to use, if any?
Any required evacuation for which we do not have the resources will be arranged with
Evacuation
Please describe your plan for
the ranger staff of the national parks we shall be hiking in.
evacuation from the
backcountry location if
applicable?
. Medical facilities: (1) rangers, (2) Hospitals and clinics: Garfield Memorial Hospital,
Medical care
Please describe the medical
200 No. 400 East, Pangutch, Utah 435-676-881, US Forest Service Clinic, Bullfrog
care available in the area(s)
37.52-110.71, Pangutch 37.83 112.43 (lat and Lon), Zion-Kane Country Hospital, 335 N.
where you will be traveling
Main St. Kanab 435-644-5811, Zion Canuon Medical Clinic 120 Lion Blvd., Springdale
and list names and telephone
435-772-3226, Dixie Regional Medical Center, 544 S. 400 E St. George, Utah 435-634numbers for these facilities.
4007
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?
Reference web links:
MEC Home Page:
Revised 7/15/2016
Hotels in St. George and Los Vegas and Hurrican and camp grounds should be made
about 1 year in advance. A $100 deposit needs to be made at each of the hotels,
refundable up to 60 days ahead.
For hotels it is 60 days. For the campgrounds it is a forfiture of $10 service fee and 1st
night's fees up to 14 days before
Deposits of $300 on registration, another $300 April 16, and final payment by May 15,
2009.
Cancellations will be accepted before the trip if place can be filled by waiting list or 100
days before the trip minus $125 processing fee.
Any additional expenses incurred on behalf of the cancelling participant that can not be
recouped will be charged to the cancelling participant
Yes
No
If yes, please describe conditions:
6. No. The expense goes up considerably.
http://snebulos.mit.edu/orgs/amc/
Major Excursions Trip Proposal Form, page 6 of 7
Day-hiking in Bryce and Zion National Parks
Jim Lindsley/Jane Gibbons
09/18/09-09/25/09
Forms:
Deadlines:
Club House:
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 7 of 7