SUMMARY OF TRIP INFORMATION India Rising: Tigers In Peril Leader Carson Tang Co-leader Erik Madsen Delhi, Bodhgaya, Varanasi, Khajuraho, Panna NP, Bandhavgarh NP, Orchha, Gwalior, Agra, Bharatpur, Ranthambore NP, Jaipur, Nawalgarh, Mandawa Pre Trip 3/5/12 to 3/10/12, Main Trip Total # of days 5 day Pre Trip, 15 day Main 3/10/12 to 3/24/12 Trip, Add additional 2 days for flight from USA (3/8-9) 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 Jeep Safari Max 16 for pre trip, 20 for main trip 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 Min 5 for pre trip, 7 for main trip $ Pre Trip Does it include airfare? Yes No Approximately $1250, Main Trip Approximately $3500 $ Approximately $1270 Yes No If yes, please list the approximate month (max is one year in advance of trip) Immediately 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? In the event of low enrollment trip will run with one leader and the leader bearing part of the trip cost. 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 Carson Tang 1653 11th Avenue, Brooklyn, NY 11215-6018 carsonoutdoors@earthlink.net Home (347) 689-9090 Work (347) 689-9090 WFA AWFA WFR Expiration: Expired, will be retaking before trip CPR BLS Expiration: Expired, will be retaking before trip 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. China - August 1-15, 2009 (18 participants) 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. Alaska – June 27 – July 12, 2009 (16 Participants) Canadian Rockies – August 18 – 27 (18 Participants) Utah – April 28 – May 8, 2006 (20 Participants) 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 Trip one Trip two Trip three Other related trip experience 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? Erik Madsen 70 Oak Hill DR, Bristol, CT, 06010-2438 emadsen2004@yahoo.com Home 860-314-0125 Work 860-418-6012 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. Kilimanjaro Climb & Safari 2010 Japan Hiking & Culture 2009 China Culture 2009 Bhutan Trek 2007 Yes No If yes, please describe below: CoLeader will be traveling throught southern India in April 2011 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 Refer to attached itinerary. Hotel accommodations arranged by outfitter. Remaining meals in restaurants coordinated by the leader. 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: Permits if any will be obtained by the outfitter. Yes No 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? 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: Leader will discuss the relationship between man and the environment in India. The endangered status of the Tiger will be discussed. A naturalist will be hired for the safaris. www.outdoors.org/about/ mission.cfm 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: The outfitter can implement the trip itinerary easier and more economically than the trip leaders. Compass India Inc. http://www.compassindiainc.com A internet search revealed no safety concerns for this outfitter. Liability? Yes No Maximum amt: $ The outfitters web site did not disclose this information. Yes No Are they willing to list AMC as an additional insured? The outfitters web site did not disclose this information. 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 Tropical sun Response Protect skin from sun's rays, stay hydrated Political concerns, crime, language translation, terrorism Foreign Country Potential hazards Robbery is most significant risk Response Take protective measures to avoid theft of valuables, will monitor US State Dept web site for hazards Road conditions, drivers, insurance Transportation Potential hazards Transit accident Response Leader will assist with first aid and referals to medical professionals Participants Potential hazards Response Other Potential hazards Response Level of fitness, screening concerns, experience with equipment or activity Participant unfamiliar with activity or lacking equipment Participant must demonstrate competance in group travel, and must acknowledge reading the trip prospectus and the trip packing list. Conditions unique to this type of trip Health problems All health problems will be disclosed to the leader. Health problems may make some participants ineligible for the 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 Our local guides know the, local language, emergency service locations, and have cell Emergency communication Phone contacts, language, phones documentation, distance from emergency services Civilization will be accessible at all times, leader with have a small first aid kit. 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? Our local guides know the, local language, emergency service locations, and have cell Medical care Please describe the medical phones 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 $US dollar exchange rate and what contingencies you have if that rate changes. If a tour operator or agent is being used, what currency is the agent to be paid in? Deposits What deposits will be required by airlines, hotels, tour operators, etc., and when? Refunds What is the latest date you can cancel and still receive a full refund? Participant deposit 1US$ = 45.7 Indian Rs If the strength of the Rs goes to 40 or less participants will be passed on a fee increase as outlined in the prospectus. Similarly any increases passed on by the outfitter will be passed on to the participants too. Fees to outfitter will be paid in US$. Leaders will only need several thousand US$ converted to Rs. Deposits to outfitter may be made once the trip has made the minimum required enrollment. Outfitter deposits made will be subject to cancelation penalties. No airline ticket refunds. Outfitter requires a 30% deposit to secure trip upon trip meeting its minimum enrollment. 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: Forms: Deadlines: E-Mail Addresses: Club House: MEC Chair: Deposits/payments received will be promptly deposited and be subject to the trip cancelation policy defined in the trip prospectus. Yes No If yes, please describe conditions: 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