SUMMARY OF TRIP INFORMATION

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Glacier National Park With a Naturalist Lynne Zimmerman

Title of trip

Leadership

Location(s)

Dates

Type of trip check all that apply

SUMMARY OF TRIP INFORMATION

Glacier National Park With a Naturalist

Leader Lynne Zimmerman

Glacier National Park, Montana

August 25 to Sept 1, 2012

Hiking

Co-leader none, Betsy Fowler back up

Total # of days 8

Downhill skiing Kayaking

Backpacking Cultural Road biking

Nordic ski Mountain biking Snorkeling

Other – please describe

Educational with a Glacier Institute employee and Naturalist

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 12 Min 7

$

$ 700. –900.00

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? group size limited by Glacier National Park to 15.

If a participant fee increase of more than 15% is proposed, please explain why?

LEADER AND CO-LEADER INFORMATION

Leader name

Leader address

Lynne Zimmerman

14 Pleasant Ave, Portland, ME 04103

Leader email lynnesz@yahoo.com

Leader phone Home 207-595-0780 Work

Wilderness first aid training

WFA AWFA WFR Expiration: 5/2013will renew

CPR training

CPR BLS Expiration: 1/2013will renew

Prior leading experience 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

Trip one

Trip two

Trip three

are proposing.

Explore Alaska 2010

X-C skiing in Yellowstone National Park over 20 years

Switzerland Hiking

Other related trip experience

Co-leader name None, Betsy Fowler as back-up

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

Glacier National Park With a Naturalist Lynne Zimmerman

Co-leader address

Co-leader email

Co-leader phone Home

Wilderness first aid training* WFA AWFA WFR Expiration:

Work

CPR training*

Prior leading experience

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.

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?

Yes x If yes, please describe below:

2011 trip

Co-leader: Yes

Leader: Yes

Not applicable:

Yes No

No

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!

Private trips

Do either of you lead trips that are private - not sponsored by

the AMC?

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

This trip will involve day hikes in Glacier National Park. We will have Glacier Institute

Naturalist and outside instructors to teach us some of the geology, flora and fauna of the

Park.

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

Does the trip require special equipment?

Special experience

Does the trip require special skills on the part of the participant?

We will stay at Glacier Institute's Field Camp in West Glacier

Most meals will be provided by Glacier Institute

Yes No

If yes, please describe below what you will need to do to obtain them: provided through Glacier Institute

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?

Revised October 2009 Major Excursions Trip Proposal Form, page 2 of 5

Glacier National Park With a Naturalist Lynne Zimmerman

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: no

Field based educational programs will be provided by naturalists and educators from

Glacier Institute.

TOUR OPERATOR AND GUIDE SERVICE INFORMATION

Will this trip require a tour operator or guide service during part, or the entire trip?

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: required by Glacier National Park. Glacier Institute staff will accompany us every day and provide learning experiences.

Glacier Institute Name of tour operator/guide service

Tour operator website

Safety record

Please provide information about their safety record. www.glacierinstitute.org excellent safety record. Approved by Glacier National Park

Insurance

Do they have liability insurance?

Liability? Yes No

Are they willing to list AMC as an additional insured?

Maximum amt: $

Yes No

Glacier Institute's emergency response protocals will be followed. GNP Rangers will be notified of any emergency. Institute staff members are WFA trained.

Emergency response

Please describe the outfitters’ response plan in the case of an emergency.

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.

Climate/terrain

Potential hazards

Response

Trail conditions, river crossings, weather, wildlife (bears, snakes, etc.) wildlife including bears, variable weather.

We will go over wildlife safety. Staff carry bear spray. We will go over essential clothing and equipment prior to the trip.

Foreign Country

Potential hazards

Response

Transportation

Political concerns, crime, language translation, terrorism

Road conditions, drivers, insurance

Potential hazards

Response

Participants

Potential hazards

Response

Other

Potential hazards

Response mountain roads

Level of fitness, screening concerns, experience with equipment or activity maintained mountain trails with elevation gain participants will be screened for hiking experience.

Conditions unique to this type of trip

Revised October 2009 Major Excursions Trip Proposal Form, page 3 of 5

Glacier National Park With a Naturalist Lynne Zimmerman

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

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.

Kalispell Regional Medical Center is the closest hospital.

Leaders will have First Aid kits and cell phones.

Call 911 . First aid services available at Ranger Stations and Visitor Centers.

Kalispell Regional Medical Center

310 Sunnyview Lane

Kalispell, MT 59901-3129

[406]-751-6930

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

50% due by March 1,2012, balance due May 1, 2012 to Glacier Institute.

$500. with trip application. 2 nd payment of $1,075.00 by March 1,2012.

For cancellations received before March 1, 2012 money will be refunded less $100.00 and any expenditures that have already occurred or will occur and can not be avoided.

Airline tickets once bought, belong to the individual. After May 1, 2012 a refund will only be made if the leader can replace you on the trip from a waiting list. You may forfeit the entire trip fee. Cancellations will not be allowed to increase the cost to other trip participants or the leader.

Yes No If yes, please describe conditions:

Revised October 2009 Major Excursions Trip Proposal Form, page 4 of 5

Glacier National Park With a Naturalist

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: 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

Lynne Zimmerman

Revised October 2009 Major Excursions Trip Proposal Form, page 5 of 5

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