Error! Reference source not found. Dale Geslien/Sarah Keats SUMMARY OF TRIP INFORMATION Title of trip Leadership Location(s) Dates Type of trip check all that apply Leader Dale Geslien Moab, Utah 8/28/15-9/6/15 Backpacking Primary type of trip Number of participants (excluding leaders) Advertised cost Airfare range if not included When should the trip notice be published in AMC Outdoors? Do you wish to have your trip listed online before it is published in AMC Outdoors? Smaller trips and leader subsidization Co-leader Sarah Keats Total # of days 10 Bicycling-Mountain Bicycling-Road Camping Cultural Family Hiking Paddling-Canoeing Paddling-Sea-Kayaking Skiing-CrossCountry (Nordic) Trekking (e.g., hutto-hut) Other Minimum 9 Skiing-Downhill Snorkeling (Alpine) Walking Other – please describe RaftingKayaking Select one of those checked above. Maximum 14 $ $2998.95 Does it include airfare? Yes No $ $600-$800 Will leaders assist participants with flights? Yes No First Appearance: Month Jan. Year 2015 Last Appearance: Month May Year 2015 Note: AMC Outdoors is only published in Jan., March, May, July, Sept., Nov. Yes No If yes, please list the approximate month and year when it should be posted on line. November, 2014 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? 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 Trip two Trip three Other related trip Form Revised February 2014 Dale Geslien 1 Phillips Farm Rd., East Hartford, CT 06118 dalegeslien@sbcglobal.net Home 860-568-5349 Work WFA AWFA WFR Expiration: 4/2015 Cell 203-512-7752 CPR BLS Expiration: 4/2015 If this is your first Adventure Travel trip as a Leader you must be present at the AMCATC meeting at which the trip proposal is considered. 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. Zion, Bryce, Escalante, September 2013, Hiking, 16 participants. Co-leader Maine Wilderness Lodges, February 2013, XC Skiing, 6 participants. Leader Rangelely, ME, August 2009, hiking and flatwater kayaking, 4 participants. Leader Annual winter weekend hut trips for 8 years with 10 participants. Alternating Leader and Adventure Travel Trip Proposal Form, page 1 of 5 Error! Reference source not found. experience Dale Geslien/Sarah Keats Co-leader 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 Sarah Keats 9B Bowdoin St. Yarmouth, ME 04096 slkski@gmail.com Home 207-847-3571 Work Cell 207-756-4226 WFA AWFA WFR Expiration: May 2015 CPR BLS Expiration: May 2014 If you are a new co-leader you must submit an application to be an Adventure Travel leader or co-leader prior to submitting this application. Also, it is strongly recommended that you be present at the AMC-ATC meeting at which the trip proposal is considered. 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. Please indicate if you were the leader or co-leader. Co-leader application submitted and approved in January 2014;August 30th-Sept. 2nd 2013: Young Members Weekend at Gorman Chairback Lodge, Maine, hiking day trips, 13 participants, leader. August 29- Sept 1st 2014: Young Members Adirondack High Peaks Weekend, Adirondack Loj Wilderness Campground, group camping trip, day hiking, 8 participants, leader. 5/30/14-6/1/14: Inter-Chapter Young Members Mizpah Spring Hut Weekend, in NH, staying in the hut, day hikes, 19 participants, leader. 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? Yes No If yes, please describe below: Dale co-led a trip to Zion, Bryce and Escalante in September 2013 which is further south but in the general vacinity with similar terrain. 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 materials you send out. LOGISTICAL DETAILS OF TRIP Summary Please provide a description of the trip and the activities planned. If available, please include or attach an itinerary. Accommodations Please describe your plans for accommodation(s) Meals: Please describe your plans for providing meals. If the budget includes any funds for leader meals not shared with the group please justify. Form Revised February 2014 The trip includes a day of hiking at Arches National Park and a 5 night, 6 day, fully supported rafting trip on the Colorado River, returning for two nights in Moab, providing an opportunity to explore Moab for a day. See prospectus with itinerary. 2 nights at primitive cabins in a Moab Campground, 5 nights camping on the river, 2 nights in a local Moab motel. Pizza night of arrival, group prepared BBQ night 2, meals on the river supplied by O.A.R.S., group prepared continental breakfasts, 2 group dinners at local restaurants, lunch on your own. Adventure Travel Trip Proposal Form, page 2 of 5 Error! Reference source not found. Dale Geslien/Sarah Keats Local Transportation Please describe your plans for local transportation Will leaders or participants be drivers of motor vehicles? Permits or permissions Does the trip require special permits or permissions? (required on many U.S. federal lands and national parks) 11 passenger shuttle from and to airport; one day car rental in Moab, plane shuttle from rafting take-out to Moab Special equipment Does the trip require special equipment? Special experience Does the trip require special skills on the part of the participant? Yes No If yes, please describe below what type of equipment and how you will ensure that people know how to use it: Will leaders be drivers? Will volunteer participants be drivers? If so, MVR checks will be needed. See Appendix S1. Yes No If yes, please describe below what you will need to do to obtain them: Land pass required for access to Arches National Park 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 experience? Also describe how you will ensure that the participant has this experience? Participants should have intermediate hiking experience and be comfortable on moving water and camping in a wilderness setting. Screening conversations with prospective participants and their references will confirm required experience. Yes No If yes, please describe below what you will do: 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 AMC-AT trip meet the mission of the AMC? www.outdoors.org/about/mission.cfm This trip will provide participants with a unique wilderness experience visiting, not only amazing geological formations, but physical evidence of Native American habitats that few get to witness which will lead to further cultural exploration. This recreational experience will reinforce the need to preserve these special places for future generations. The sensitivity of this region will provide an opportunity to teach land and river Leave No Trace ethics. TOUR OPERATOR AND GUIDE SERVICE INFORMATION This section should be completed if the trip will be using a tour operator, outfitter, guide service, travel agency or other such company or person(s) for a significant part of the trip or for the entire trip. Any person(s) or companies that are handling a significant portion of trip funds or arrangements need to be vetted. If there is more than one tour operator please provide this information about each such entity. Will this trip require a tour Yes No operator or guide service Please describe their services. If you are using a tour operator for the entire trip, during part of or for the please describe why you will be using them rather than doing this trip on your own: O.A.R.S. is a highly experienced outfitter that provides a fully supported rafting trip, entire trip? camping in designated sites with options for hiking from the campsites to known cultural and geological features. They also have the appropriate equipment for water filtration and human waste. Name of tour operator/guide O.A.R.S. service http://www.oars.com/ Tour operator website OARS has been operating for 45 years in at least 6 US states and many international Safety record Please provide information destinations and has an excellent safety record. Over the years we have had a small about their safety record. number of evacuations related to shore injuries or medical issues such as twisted ankles from hikes, chest pains, ectopic pregnancy. Insurance Liability? Yes No Maximum amt: $ Do they have liability Are they willing to list AMC as an Yes No insurance? additional insured? All trips have a satellite phone and each destination has a designated emergency Emergency response Please describe the outfitters’ plan/protocol. In the event of an emergency the O.A.R.S. trip leader calls the area Form Revised February 2014 Adventure Travel Trip Proposal Form, page 3 of 5 Error! Reference source not found. response plan in the case of an emergency. Dale Geslien/Sarah Keats manager who then activates the emergency plan from a land base in accordance with the governing agency for the specific destination e.g. National Park, US Forest Service, Bureau of Land Management. The wilderness areas we operate in have various access points by vehicle or helicopter. 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 Trail conditions and weather may impact day hikes at Arches National Park Response Will discuss trail conditions with rangers at Visitor's Center and make adjustments as appropriate. Political concerns, crime, language translation, terrorism Foreign Country Potential hazards NA Response Road conditions, drivers, insurance Transportation Potential hazards Volunteer drivers may not qualify Response Ensure sufficient number of back-up volunteer drivers Level of fitness, screening concerns, experience with equipment or activity Participants Potential hazards Participants may have difficulty participating in the activities. Response Require references and discuss participants' abilities and past experience with references. Conditions unique to this type of trip Other Potential hazards Unexpected reactions to rafting, movement on water, wilderness camping Response O.A.R.S. has a vast amount of experience in this arena; Leader and co-leader will use their experience to engage group participation to mitigate any potential unexpected anxiety of participants. EMERGENCY ACTION PLAN Please describe your plans for dealing with emergencies. Give 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 BLANK Moab Regional Hospital Emergency communication Phone contacts, language, 450 Williams Way documentation, distance from Moab, UT 84532 emergency services 435-719-3500 Standard First Aid Kit and Cell Phones, understanding that cell service may not be Emergency equipment What sort of emergency first available supplemented by O.A.R.S. satellite phone while on the river. aid or communication equipment (satellite phone, two-way radios) do you plan to use, if any? O.A.R.S trips have a satellite phone and each destination has a designated emergency Evacuation Please describe your plan for plan/protocol. In the event of an emergency the OARS trip leader calls the area manager evacuation from the who then activates the emergency plan from a land base in accordance with the backcountry location if governing agency for the specific destination e.g. National Park, US Forest Service, applicable? Bureau of Land Management. The wilderness areas we operate in have various access points by vehicle or helicopter. Moab Regional Hospital Medical care Please describe the medical 450 Williams Way care available in the area(s) Moab, UT 84532 where you will be traveling 435-719-3500 and list names and telephone numbers for these facilities. Form Revised February 2014 Adventure Travel Trip Proposal Form, page 4 of 5 Error! Reference source not found. Dale Geslien/Sarah Keats COST AND BUDGET DETAILS NA 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? Need to confirm with O.A.R.S. and hotel, however after April for O.A.R.S. Group Trip Deposits What deposits will be required from you by airlines, hotels, tour operators, etc., and when? Need to confirm with O.A.R.S. and hotel. Group Trip Refunds What is the latest date you can cancel and still receive a full refund of any deposits? A deposit of $500 is required with the application. The balance is due April 1, 2015. Participant deposits What are the initial deposit and your schedule of payments by participants to you? If the trip is cancelled, you will receive a full refund of your deposit and payments. If Cancellation policy What will be your cancellation the trip goes, and you cancel after the deposit is made, a $100 cancellation fee will policy for the participants? apply. A refund of amounts paid in excess of $100 will be given to the extent that it does not raise the cost of the trip to the other participants. If your spot is filled from a waiting list, then you may be entitled to a full refund, less the $100 cancellation fee. If your spot cannot be filled, then you will receive a refund for any part of the trip that can be cancelled by the leaders, less the $100 cancellation fee. There is a possibility that you may not receive any refund. Minimum numbers Yes No If yes, please describe conditions: Will you still run the trip if you do not get the minimum number? Reference web links: AMC-ATC Home Page: Forms: Deadlines: E-Mail Addresses: Club House: AMC-ATC Chair: Form Revised February 2014 http://snebulos.mit.edu/orgs/amc/ http://snebulos.mit.edu/orgs/amc/application/ http://snebulos.mit.edu/orgs/amc/committee/proposals/ nholland@outdoors.org mikebarry657@mac.com Adventure Travel Trip Proposal Form, page 5 of 5