Mt. Assiniboine Lodge Backcountry SkiingMt. Assiniboine Lodge Backcountry Skiing
10Len Weiss/TBD
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
Mt. Assiniboine Lodge Backcountry SkiingMt. Assiniboine Lodge Backcountry Skiing
10Len Weiss/TBD
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
Mt. Assiniboine Lodge Backcountry SkiingMt. Assiniboine Lodge Backcountry Skiing
10Len Weiss/TBD
SUMMARY OF TRIP INFORMATION
Mt. Assiniboine Lodge Backcountry Skiing
Leader Len Weiss
Co-leader TBD
Canmore and Banff, Alberta, Canada
March 15 to 24, 2009
Total # of days 10
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
Also, Alpine Touring (Randonee). Back country skiing on ungroomed trails.
Max 10
Number of participants
(excluding leaders)
Advertised cost
Airfare range if not included
Smaller trips and leader
subsidization
Min 8
$ 3,225
Does it include airfare? Yes
No
$ 900 to $1,000
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? Backcountry skiing in winter
If a participant fee increase of more than 15% is proposed, please explain
why? 20% because of backcountry nature
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
Len Weiss
46 Hawthorn Road, Brookline, MA 02445-7730
lenweiss@rcn.com
Home 617-277-8403
Work Cell 617-320-7024
WFA
AWFA
WFR
Expiration: 11/2008
CPR
BLS
Expiration: 2/04/2009
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.
Co-leader St. Moritz ME March 2008 Front country alpine and nordic skiing. 17
participants
Co-leader Pemi Wilderness August 2007 Hiking and hut stays. 8 participants
I was a particpant on this trip in 2006. Have avalanche preparedness training.
TBD

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
Mt. Assiniboine Lodge Backcountry SkiingMt. Assiniboine Lodge Backcountry Skiing
10Len Weiss/TBD
Co-leader phone
Wilderness first aid training*
CPR training*
Prior leading experience
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.
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:
I was a particpant on this trip in 2006. I have also done multi-day backing trips in the
area, as well as front country skiing.
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)
Shakedown skiing in front country in Canmore; helicopter fly-in to Mt. Assiniboine
Lodge; guided or group organized daily ski tours around lodge; fly-out to Canmore
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?
Pre-trip activities
Do you plan to get your group
together before the trip for an
activity or social event?
Revised 7/15/2016
4 nights in a Canmore motel, 4 nights at Mt. Assiniboine Lodge, 1 night at airport hotel
in Calgary
Included in Mt. Assiniboine Lodge cost; others at restaurants in Canmore, Banff and
Calgary
Yes
No
If yes, please describe below what you will need to do to obtain them:
If no, please describe the process you went through to find out that they were not
required:
Using bus charter to enter national park. No entry fee is reqquired.
Yes
No
If yes, please describe below what type of equipment and how you
will ensure that people know how to use it:
Backcountry ski gear and appropriate clothing. Avalanche training and gear not
required, but lodge does provide avalanche gear. Prospectus will cover requirements, as
well as skills.
Yes
No
If yes, please describe below what type of experience? Also describe
how you will ensure that the participant has this experience?
The weather and the type of skiing require fitness, strong skiing abililtites and
demonstrated experience in extreme cold conditions. Ensured through diligent screening
and pre-trip activity. Guides and helicopter access make experience less critical.
Yes
No
If yes, please describe below what you will do:
Weekend ski and gear shakedown.
Major Excursions Trip Proposal Form, page 4 of 7
Mt. Assiniboine Lodge Backcountry SkiingMt. Assiniboine Lodge Backcountry Skiing
10Len Weiss/TBD
Conservation, education and
recreation
How will this major excursion
meet the mission of the AMC?
www.outdoors.org/about/
mission.cfm
Both the Canmore area and the lodge offer many opportunities to learn about natural and
developed history.
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:
But the lodge offers an easier and more challenging guided tour everyday. We will have
the option of joining or going out on our 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
Challenging skiing in potentially extreme weather.
Response
Screening, pre-trip activity, small group w/2 leaders, rescue resources at lodge and ski
area
Political concerns, crime, language translation, terrorism
Foreign Country
Potential hazards
None expected
Response
Road conditions, drivers, insurance
Transportation
Potential hazards
Airline delays (experienced significantly in 2006)
Response
Built in buffer day at front end, try for non-stop flights, connect through southern cities
Level of fitness, screening concerns, experience with equipment or activity
Participants
Potential hazards
Same as climate/terrain
Response
Same as climate/terrain
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
Revised 7/15/2016
Major Excursions Trip Proposal Form, page 5 of 7
Mt. Assiniboine Lodge Backcountry SkiingMt. Assiniboine Lodge Backcountry Skiing
10Len Weiss/TBD
Emergency communication
Phone contacts, language,
documentation, distance from
emergency services
Emergency equipment
What sort of emergency first
aid or communication
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.
Leaders will have 2 way radios while touring. Possible use of satellite phone will be
explored. Potential to be stranded on trail while skiing. Maximum distance from lodge
is probably 3 to 4 miles. Guided tours and helicopter proximity substantially reduce risk.
Will develop a plan for managing an injured party and the general well being of the
group. High risk that emergency response may be lengthy.
See preceding
See preceding.
Hospitals and doctors in front country. Facility contact information TBD.
COST AND BUDGET DETAILS
Foreign currencies
For int’l trips list each foreign
currency, the current $US
dollar exchange rate and what
contingencies you have if that
rate changes. If a tour
operator or agent is being
used, what currency is the
agent to be paid in?
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?
Revised 7/15/2016
Budget assumes that Canadian and US dollars are at parity
Mt. Assiniboine Lodge - A deposit of $350.00 Cdn per person is required to confirm
lodge room or shared cabin space. Deposit is due within 30 days of invoice date,
expected to be in late November. I have reserved space at no financial risk until
December 2009. Final payment is due 10 weeks prior to your trip date. Cancellations
will be accepted in writing or by phone. Charges will be based on the date the
cancellation notice is received. $200 Cdn per person of the first deposit is nonrefundable, no matter when the cancellation occurs. Less than 10 weeks cancellation
notice: the full amount is non-refundable, if the space cannot be resold. If you, or
Assiniboine Lodge can find a matching replacement, then $200.00 Cdn per person is
non-refundable. If you cancel and have not made final payment, Assiniboine Lodge will
invoice you for the final amount if the space cannot be resold.
Helicopter - More than 10 weeks notice: no charge. From 10 weeks to 48 hours notice:
$20.00 per person booking fee applies. Less than 48 hours notice: full charges apply
Other deposits - not expected to present issues.
See preceding
$2,000 with application and $1,225 by January 15, 2009
Major Excursions Trip Proposal Form, page 6 of 7
Mt. Assiniboine Lodge Backcountry SkiingMt. Assiniboine Lodge Backcountry Skiing
10Len Weiss/TBD
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?
Refunds for a particpants's cancellation from the trip will be based on the ability to
recruit replacements and/or adjust expenses, and probably won't be determined until after
the trip has been completed.
Yes
No
If yes, please describe conditions:
Reference web links:
MEC Home Page:
Forms:
Deadlines:
AMC Home Page:
http://snebulos.mit.edu/orgs/amc/
http://snebulos.mit.edu/orgs/amc/application/
http://snebulos.mit.edu/orgs/amc/listings
http://www.outdoors.org/
E-Mail Addresses:
Club House:
MEC Chair:
MEC Notices:
amcexcursions@outdoors.org
mecchair@amcboston.org
goeke@space.mit.edu
Revised 7/15/2016
Major Excursions Trip Proposal Form, page 7 of 7