E. Goeke/R. Goeke
A Touch of Australia
SUMMARY OF TRIP INFORMATION
A Touch of Australia
Leader E. Goeke
Perth and Sidney Australia
Oct. 13-29, 2011
Hiking
Title of trip
Leadership
Location(s)
Dates
Type of trip
check all that apply
Co-leader R. Goeke
Total # of days 16
Downhill skiing
Kayaking
Backpacking
Cultural
Road biking
Nordic ski
Mountain biking
Snorkeling
Other – please describe
urban walking and exploring
Number of participants
(excluding leaders)
Advertised cost
Airfare range if not included
Do you wish to have your trip
listed online before it is
published in The Outdoors?
Smaller trips and leader
subsidization
Max 14
Min 12
$ 2850
Does it include airfare? Yes
No
$ 2200-2500
Yes
No If yes, please list the approximate month (max is one year in
advance of trip)
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?
If a participant fee increase of more than 15% is proposed, please explain
why?
LEADER AND CO-LEADER INFORMATION
Trip one
Trip two
Trip three
Other related trip experience
Elizabeth Goeke
22 Grove Place, #29 Winchester, MA 01890
betsyg@space.mit.edu
Home 781-729-8484
Work
WFA
AWFA
WFR
Expiration: will renew
CPR
BLS
Expiration: will renew
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.
Yellowstone horsepacking - year after the fires - canceled
Hawaii 2003 - canceled
Honduras 2007 - canceled
Have visited all of these places
Co-leader name
Robert Goeke
Leader name
Leader address
Leader email
Leader phone
Wilderness first aid training
CPR training
Prior leading experience

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 October 2009
Major Excursions Trip Proposal Form, page 1 of 5
E. Goeke/R. Goeke
A Touch of Australia
Co-leader address
Co-leader email
Co-leader phone
Wilderness first aid training*
CPR training*
Prior leading experience
Trip one
Trip two
Trip three
Other related trip experience
see above
Home
Work 617-253-1910
WFA
AWFA
WFR
Expiration: will renew
CPR
BLS
Expiration: will renew
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.
Canadian Rockies Backpack 1976
Travels to Perth through Sidney once a month
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:
We visited these cities in June 2010.
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)
Trip will fly to West Coast, Sidney then Perth. On Tues. fly to Sydney. In both cities
explore city; in Perth visit Freemantle and another resort, take a wine cruise In Sidney
visit zoo, take whale watch and visit Blue Mtns.
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!
TBD
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 October 2009
Rooms with bath, breakfast served at hotel
Some lunches included, dinner on own
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:
Previous trip
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?
Ability to spend each day on the go. Ask participants about their current condition.
Major Excursions Trip Proposal Form, page 2 of 5
E. Goeke/R. Goeke
A Touch of Australia
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
Yes
No
If yes, please describe below what you will do:
Get together for a walk and a light meal
The trip is an overview of life in Australia.
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:
We will take regularly scheduled commercial trips with established vendors
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
Planned activities not possible because of weather or unforeseen changes
Response
Choose alternate activities
Political concerns, crime, language translation, terrorism
Foreign Country
Potential hazards
NA
Response
Road conditions, drivers, insurance
Transportation
Potential hazards
Will use public transportation
Response
Level of fitness, screening concerns, experience with equipment or activity
Participants
Potential hazards
Participants not strong enough to keep up with group
Response
Attempt to determine strength of participants beforehand
Conditions unique to this type of trip
Other
Potential hazards
Airline problems
Response
Deal with them as they arise
EMERGENCY ACTION PLAN
Please describe your plans for dealing with emergencies. Use as much detail as possible, and list any special
Revised October 2009
Major Excursions Trip Proposal Form, page 3 of 5
E. Goeke/R. Goeke
A Touch of Australia
communications equipment you may need to ensure the safety of your participants. DO NOT LEAVE THIS SECTION
BLANK
We will be in the city or traveling with a group for all activities
Emergency communication
Phone contacts, language,
documentation, distance from
emergency services
Leaders will carry bandages etc. for minor problems
Emergency equipment
What sort of emergency first
aid or communication
equipment (satellite phone,
two-way radios) do you plan
to use, if any?
NA
Evacuation
Please describe your plan for
evacuation from the
backcountry location if
applicable?
Each city has hospitals that have been seen by leaders
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.
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?
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?
Trip costed in Australian dollars which have been valued below American dollars.
We will not make reservations until we have participants
$500 deposit when accepted
1st payment July 1
2nd payment Sept 1
$100 nonrefundable Refunds depend on replacement of participants (at leaders'
choice)
After Sept. 1 $1000 nonrefundable
Yes
No
If yes, please describe conditions:
Depends on leaders' decision before trip leaves
Reference web links:
Revised October 2009
Major Excursions Trip Proposal Form, page 4 of 5
E. Goeke/R. Goeke
A Touch of Australia
MEC Home Page:
Forms:
Deadlines:
E-Mail Addresses:
Club House:
MEC Chair:
Revised October 2009
http://snebulos.mit.edu/orgs/amc/
http://snebulos.mit.edu/orgs/amc/application/
http://snebulos.mit.edu/orgs/amc/listings
cyout@outdoors.org
mecchair@amcboston.org
Major Excursions Trip Proposal Form, page 5 of 5