Marianne Page/Anna Panszczyk
Morocco Trek in the High Atlas Mountains
AMC Adventure Travel Trip Proposal Form
Last Revision July 2013
The following pages contain the application to lead an AMC Adventure Travel trip. Please complete the form with as much
detail as possible, and attach additional sheets if necessary. Also include a detailed budget/costing sheet that clearly shows
all costs associated with your planned excursion. The trip proposal form and budget are due three weeks prior to the AMC
Adventure Travel Committee (AMC-ATC) meeting in which it will be reviewed. Deadlines will be posted on the AMCATC leader website (http://snebulos.mit.edu/orgs/amc/) and sent to you on the AMC Adventure Travel leader listserv well in
advance of the meeting. The AMC-ATC will not accept late proposals unless the chair is notified in advance with a
compelling reason. Incomplete applications will be returned to you and not reviewed until complete, so please make sure to
fill in all applicable sections.
The proposal form was created as a Microsoft Word protected document. To fill in each section click on the check box
and/or on the grey text box and start typing. The boxes will automatically get larger as you fill in text. If you find that you
need a lot of space to explain a section, please say “see additional attachment” and attach a separate page.
In addition, the following are helpful during the review process:


Maximum 50- and 150-word notices for the AMC Outdoors and maximum 450-word notices for www.outdoors.org.
Please see the current rules - http://snebulos.mit.edu/orgs/amc/listings/ and schedule for submitting notices for the
AMC Outdoors.
Trip prospectus – without the application forms attached – in Microsoft Word or PDF format
Finally, we need to have on file at Joy Street, the following documents:



A completed confidential medical form for the leader and co-leader (after approval is given)
Copies of first aid and CPR certifications for leader and co-leader (before or after approval is given)
A completed application to be a leader or co-leader if the leader or co-leader is new (before proposal is submitted)
We will accept snail mail applications, but electronic forms are strongly preferred. Please save and forward your electronic
document with the following naming convention:


Leader’s last name, trip destination, year of trip and what type of document it is (application, budget, Outdoors
listing or prospectus)
For example, Smith-New Zealand-2007-Application.doc or Smith-New Zealand-2007-Budget.xls
Trip proposals should be sent electronically to the AMC-ATC Chair, Ralph Blumenthal, at amcatchair@comcast.net and to
the AMC Adventure Travel Programs Coordinator, Nancy Holland, at nholland@outdoors.org. They can be mailed to:
Travel Programs Coordinator, 5 Joy Street, Boston, MA 02108. If you have any questions, please contact Ralph at: 732-2648482 or amcatchair@comcast.net or Nancy at: 617-391-6587 or at nholland@outdoors.org.
Form Revised July 2013
Adventure Travel Trip Proposal Form, page 1 of 7
Marianne Page/Anna Panszczyk
Morocco Trek in the High Atlas Mountains
SUMMARY OF TRIP INFORMATION
Morocco Trek in the High Atlas Mountains
Leader Marianne Page
Co-leader Anna Panszczyk
Morocco
May 7 - 24 2015
Total # of days 18
Backpacking
Bicycling-Mountain
Bicycling-Road
Title of trip
Leadership
Location(s)
Dates
Type of trip
check all that apply
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
Camping
Cultural
Family
Hiking
Paddling-Canoeing
Paddling-Sea-Kayaking
Skiing-CrossCountry (Nordic)
Trekking (e.g., hutto-hut)
Hiking
Minimum 10
Skiing-Downhill
Snorkeling
(Alpine)
Walking
Other – please describe
Select one of those checked above.
Maximum 16
$ 2325
Does it include airfare? Yes
No
$ 1225 - 1400
Will leaders assist participants with flights? Yes
No
First Appearance: Month 07
Year 2014
Last Appearance: Month 03
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. 05/2014
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?
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
Form Revised July 2013
Marianne Page
29 Bedard Ave - Derry - NH 03038
Marianne4nh@yahoo.com mpage45@gmail.com
Home 603-432-9249
Work n/a
Cell
WFA
AWFA
WFR
Expiration: 11/13- will renew 11/2015
CPR
BLS
Expiration: 11/13- will renew 11/2015
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.
Glacier N.P.
Sawtooth Mountains
New Zealand in 2010; Wyoming in 2011; Big Bend in 2012; Morocco 2013
NH Class I leader
Adventure Travel Trip Proposal Form, page 2 of 7
Morocco Trek in the High Atlas Mountains
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?
Marianne Page/Anna Panszczyk
Anna Panszczyk
22 Alfred Rd, Arlington, MA 02474
annatp13@verizon/net
Home 781-648-2492
Work n/a
Cell 617-429-2175
WFA
AWFA
WFR
Expiration: 5/16
CPR
BLS
Expiration: 5/16
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.
Hiking Superior Hiking Trail in Minnesota; 9/13; 14 participants
Hiking in Yosemite National Park; 2 trips in 6/13, both with over 14 participants each
Trekking in Atlas Mountains of Morrocco in 5/13 with 6 participants
Leads weekend trips for Maasachusetts chapter
Yes
No
If yes, please describe below:
Leader and co-leader led a trek trip in High Atlas Mountains in May, 2013
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.
Local Transportation
Please describe your plans for
local transportation
Will leaders or participants be
drivers of motor vehicles?
Permits or permissions
Form Revised July 2013
Fly into Marrakech, explore the city. Outfitter will take us around as well as on the trek
to climb Toubkal (13,670’), explore fossils on summit.
Take trip to Atlantic seashore for 2 days, then on cultural tour to Fes, and to Casablancas.
Hotel in Marrakech, Essaouira, Casablanca and Fes– campsites on trek. All handled by
reputable outfitter, known to fellow leader Pete Faunholz
Breakfast while staying in hotels and all meals while on the trek are included in budget –
lunches and dinners will be paid for by participants and leaders when sightseeing.
We will rely on our Outfitter ‘Morocco Tour & Trek’ for all transports from the airport
and back, as well as all our days in Morocco
Will leaders be drivers?
Will volunteer participants be drivers?
If so, MVR checks will be needed. See Appendix S1.
Yes
No
Adventure Travel Trip Proposal Form, page 3 of 7
Morocco Trek in the High Atlas Mountains
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?
Marianne Page/Anna Panszczyk
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:
Using Outfitter
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?
The participants must be able to demonstrate that they can hike at elevations above 4000
ft on exposed and rocky terrain. A guideline for hiking abilities will be supplied with the
prospectus so participants can rate themselves. Leader/co-leader will follow up with
AMC local chapter contacts to see if participants will be a good fit for this trip. Phone
calls will be used if uncertain about abilities and being a group player.
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
Discussion and education on "Leave No Trace" as well as hiker etiquette, and
techniques for acclimatization. We will be experiencing Berber culture both in
the city as well as in the countryside;
on the summit in exploration, and the valley of the High Atlas region. Observing
the different cultures in the High Atlas, and the cities we will be visiting, some
with expert guides
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:
It is a distant, foreign country, and neither of us speaks the native language. We feel
entire trip?
very confident with the outfitter and their experience as well as their safety record
Name of tour operator/guide M. Trek and Tour SARL au. Fully registered travel agent in Morocco with the
Government in Rabat. The registration number is 11D/14 The company is fully bonded
service
and insured
www.moroccotrek.co.uk
Tour operator website
They had no claims of any type against them in 7 years of operation, including a 100%
Safety record
Please provide information
safety record.
about their safety record.
Insurance
Liability? Yes
No
Maximum amt: $ Morocco does
Do they have liability
not have public liability , but can
insurance?
forward as insurance documents
become available The ourfitter is fully
bonded and insured
Are they willing to list AMC as an
Yes
No
additional insured?
Minor injuries & illness- trek guide will authorize a muleteer to take the injured person
Emergency response
Please describe the outfitters’
to Imlil if deemed necessary. 1-1.5 hours mule trek away.
response plan in the case of an
emergency.
Form Revised July 2013
Adventure Travel Trip Proposal Form, page 4 of 7
Marianne Page/Anna Panszczyk
Morocco Trek in the High Atlas Mountains
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
High altitude sickness
Response
Medications, take the participant to a lower elevation
Political concerns, crime, language translation, terrorism
Foreign Country
Potential hazards
Language
Response
Use guides to translate and mediate between the natives. Be respectful.
Road conditions, drivers, insurance
Transportation
Potential hazards
We will be transported by the outfitter
Response
Level of fitness, screening concerns, experience with equipment or activity
Participants
Potential hazards
Response
Careful screening: application response, phone calls, chapter feedback, recent excursions
(local and ME/AT), list of hikes done in past 2 years. What was the highest a particiant
hiked to and how he/she felt at that altitude. Participants will need to be up front and
accurate with all health conditions and medications. Participants must be a group player,
if not they will put the groups' safety in jeopardy and this would not be acceptable.
Conditions unique to this type of trip
Other
Potential hazards
Wildlife, weather, dehydration
Response
Stay at a safe distance. Drink plenty of fluids. Watch weather carefully and be alert to
possible storms. Be prepared at all times.
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
Outfitter has emergency procedures
Emergency communication
Phone contacts, language,
documentation, distance from
emergency services
Leaders will carry a first aid kit with SOLO book and soap note as well as a cell phone.
Emergency equipment
What sort of emergency first
aid or communication
equipment (satellite phone,
two-way radios) do you plan
to use, if any?
Minor injuries and illnesses:
Evacuation
Please describe your plan for
A) On the trek the guide will authorize a muleteer to take the injured person to Imlil if
evacuation from the
deemed necessary. It should not be more than 1 to 1.5 hrs. mule trek to a road where
backcountry location if
transport can be obtained to Imlil There is a clinic in Imlil. The Insurance company
applicable?
should be telephoned straight away, as all evacuations however minor, will incur costs.
The MTT number should be phoned to alert the ground handler and the client agency if
appropriate.
B) In case of needing further attention, but still not of greatest urgency, the patient can be
taken to the general hospital in Marrakech, which is between 50 to 60 minutes away by
road transport.
C) In certain rare cases such as snake bite or burns, the Imlil/Marrakech hospital may
refer the patient to a specialized unit in Casablanca. Insurance companies have the details
of Ambulance businesses in case B) and C)
Very Serious injury or Illness:
A) After immediate first aid, the insurance company should be called immediately to
Form Revised July 2013
Adventure Travel Trip Proposal Form, page 5 of 7
Morocco Trek in the High Atlas Mountains
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.
Marianne Page/Anna Panszczyk
arrange helicopter evacuation (the air ambulances are now run by a private company)
B) Once this is done, the guide should then telephone the relevant Moroccan authorities
to alert the police and air traffic
C) The leader should phone MTT /client agency
D) The insurance company should be referred to at each point, and they have contacts
with the helicopter companies, 3 of which are based in Marrakech. The patient will be
taken either to Marrakech or Casablanca depending on the situation.
Please note that the Moroccan guide cannot authorize any evacuation, helicopter or
mule/road until the insurance has authorized the plan and MTT/client agency has been
informed. Group will be together at all times.
see above
COST AND BUDGET DETAILS
We will utilize a contingency rate of 6% and calculate the budget based
Foreign currencies
For int’l trips list each foreign currency, the
on $1 = 1.81 BPS. The trip will be paid in US dollars to the Outfitter current $US dollar exchange rate and what
budget is in US dollars
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?
20% deposit is to be send by February 28, 2015. Final payment to be send by April 9,
Group Trip Deposits
What deposits will be required
2015.
from you by airlines, hotels, tour
operators, etc., and when?
8 weeks before the start of the trip
Group Trip Refunds
What is the latest date you can
cancel and still receive a full
refund of any deposits?
$1000 deposit, $1325 by February 15, 2015
Participant deposits
What are the initial deposit and
your schedule of payments by
participants to you?
AMC cancellation policy is based on the simple precept that your cancellation shall
Cancellation policy
What will be your cancellation
not raise the cost of the trip to any of the participants or the leaders. Therefore, if the
policy for the participants?
trip is canceledl, the refund will be all that has been paid, less expenses already
incurred and future expenses which can not be avoided. If the participant cancels and
the trip still fully book, then the fees will be refunded in full with the exception that
part of the fee which cannot be refunded. If cancelled after accepted for the trip, $100
is non-refundable. If cancelled after April 2, 2015 minimally $200 is nonrefundable, if
(and only if) another person takes a spot. Waiting list will be established. If
replacement found, $200 cancellation fee will apply. The cancellation will not raise the
cost of the trip to any of the participants or the leaders. Thus, if no replacement
found, $200 plus the per capita expenses already incurred and any other unpaid
expenses for which the trip will not be refunded. Flight tickets once purchased
become participant’s property and are generally non-refundable. Purchase travel
insurance is recommended, a company recommended by the AMC.
Minimum numbers
Yes
No
If yes, please describe conditions:
Will you still run the trip if you
10
do not get the minimum number?
Reference web links:
Form Revised July 2013
Adventure Travel Trip Proposal Form, page 6 of 7
Morocco Trek in the High Atlas Mountains
AMC-ATC Home Page:
Forms:
Deadlines:
E-Mail Addresses:
Club House:
AMC-ATC Chair:
Form Revised July 2013
Marianne Page/Anna Panszczyk
http://snebulos.mit.edu/orgs/amc/
http://snebulos.mit.edu/orgs/amc/application/
http://snebulos.mit.edu/orgs/amc/committee/proposals/
nholland@outdoors.org
amcatchair@comcast.net
Adventure Travel Trip Proposal Form, page 7 of 7