/ SUMMARY OF TRIP INFORMATION

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Jan Taylor/Judith Dortz
Hike the Azores
SUMMARY OF TRIP INFORMATION
Hike the Azores
Leader Jan Taylor
Co-leader Judith Dortz
the Azores-Sao Miguel island (add Pico and Faial for 12 days)
May 13, 2011-May 20 or 24,2011
Total # of days 8 or 12
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
Nature preserves, volcanic formations, (climb Pico with guide)
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
$ 1995 or $2595
Does it include airfare? Yes
No
$
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
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
Jan Taylor
4 Trotting Horse Rd, Lexington, MA
jliztaylor@rcn.com
Home 781-862-1897
Work
WFA
AWFA
WFR
Expiration: may 2011
CPR
BLS
Expiration:
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.
Italy-Tuscany, hiking
Sicily, hiking
led non-AMC trips to China and Costa Rica in past year
Judith Dortz

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
Jan Taylor/Judith Dortz
Hike the Azores
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
36 Ash St., Cambridge, MA
jdortz@aol.com
Home 617-876-8516
Work
WFA
AWFA
WFR
Expiration: aug. 2011
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.
Sicily - hiking
Viet Nam
China
group leader for Elderhostel international trips
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:
Executive summary
Please provide a brief
description of the trip and the
activities planned.
A hiking/walking week (or 12 days)in the Azores on Sao Miguel, the largest island. We
will spend 3 days in central Furnas , hiking a volcanic crater, Furnas Lake,visitng
thermal springs and gardens, and hiking in nature preserves. The next 3 days are in
western Ponta Delgada, the largest town , hiking Sete Cidades-- a caldera, the village.
On Pico 3 days with more hiking with the option to climb Mt Pico with a guide. Ferry to
Faial for last night -shipbuilding port and yachting center for cross-Atlantic boaters.
3-4star hotels in Furnas, Ponta Delgada, Pico and Faial
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
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
Revised October 2009
Breakfast is included in hotels. Several dinners provided.
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:
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?
Major Excursions Trip Proposal Form, page 2 of 5
Jan Taylor/Judith Dortz
Hike the Azores
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
Some hiking experience and distance walking (3-5 hours, 5-8 miles)
Yes
No
If yes, please describe below what you will do:
The Azores is an archipelago formed from upper sections of volcanoes. We will explore
many of the protected zones of flora, coastal cliffs, and nture preserves. In Ponta
Delgada, the capital, we will be able to visit museums and galleries. Throughout our
stay we will experience daily life on volcanic islands separated by miles of oceans to any
mainland.
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:
Only guide required is for climbing Mt Pico. Will be recommended by hotel.
no information
Liability? Yes
No
Are they willing to list AMC as an
additional insured?
cannot respond at this time
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
Sudden rain is a possibility; terrain can be rocky, but not necessarily hazardousl
Response
Participants will manage with proper clothing and footwear, and experience. On Pico
only those with sufficient experience will climb Mt Pico
Political concerns, crime, language translation, terrorism
Foreign Country
Potential hazards
none as of this writing
Response
Road conditions, drivers, insurance
Transportation
Potential hazards
We will use buses and taxis,; roads are maintained
Response
Level of fitness, screening concerns, experience with equipment or activity
Participants
Potential hazards
Participants will be screened for current hiking and walking experience and general
fitness.
Response
Conditions unique to this type of trip
Other
Potential hazards
none
Response
Revised October 2009
Major Excursions Trip Proposal Form, page 3 of 5
Jan Taylor/Judith Dortz
Hike the Azores
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
All towns and villages have access to local health services---hospitals and health centers.
Emergency communication
Phone contacts, language,
We will not be isolated and relatively near other people.
documentation, distance from
emergency services
We will not be carrying communication equipment. leaders will have standard first aid
Emergency equipment
What sort of emergency first
supplies.
aid or communication
equipment (satellite phone,
two-way radios) do you plan
to use, if any?
Not applicable
Evacuation
Please describe your plan for
evacuation from the
backcountry location if
applicable?
Hospitals and health centers (for non-hospital treatment).
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
Revised October 2009
Euro = $1.35 as of 9/20/10
Pre-paid expenses (air and hotel) will be in $$$ to Azores Express.
None required at this time per arrangement with Azores Express.
Given the late posting of this trip, a full refund is possible only if a replacement can be
found.
$900 due with application. Remainder of $1095 is due by March 13, 2011.
Cancellation only if a replacement is found.
Yes
No
If yes, please describe conditions:
Major Excursions Trip Proposal Form, page 4 of 5
Jan Taylor/Judith Dortz
Hike the Azores
do not get the minimum
number?
Reference web links:
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
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