Robert White/Paul Glazebrook
Lady Evelyn - Temagami Wilderness Canoe Trip
SUMMARY OF TRIP INFORMATION
Lady Evelyn - Temagami Wilderness Canoe Trip
Leader Robert White
Co-leader Paul Glazebrook
Northeastern Ontario, Canada
7/31/14 to 8/7 /14
Total # of days 8
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)
Select from list
Minimum 4
Skiing-Downhill
Snorkeling
(Alpine)
Walking
Other – please describe
Select one of those checked above.
Maximum 10
$ 830
Does it include airfare? Yes
No
$
Will leaders assist participants with flights? Yes
No
First Appearance: Month May
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. ASAP
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? Park regs limit camping to 12 per site. Given
that we are paddling on large lakes with possibility of wind and waves, a smaller
number of canoes is safer.
If a participant fee increase of more than 15% is proposed, please explain why?
Since we are willing to run the trip with less than 10 participants, we still expect to
contribute to the cost.
LEADER AND CO-LEADER INFORMATION
Leader name
Leader address
Leader email
Leader phone
Wilderness first aid
training
CPR training
Prior leading experience
Trip one
Form Revised Arpil 2013
Robert White
128 White Birch Dr. Guilford, CT 06437
robertswhite@comcast.ne
Home 203-453-3727
Work 203-214-8768
WFA
AWFA
WFR
Expiration:
Cell 203-214-8768
CPR
BLS
Expiration: Expired will renew
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.
Kauai 2013 co-leader
Adventure Travel Trip Proposal Form, page 1 of 5
Robert White/Paul Glazebrook
Lady Evelyn - Temagami Wilderness Canoe Trip
Trip two
Trip three
Other related trip
experience
Utah twice, 2011 co-leader and 2013 leader
Sea Kayaking in the sea of Cortes 2012 leader
Wilderness Canoeing in Algonquin Provincial Park in Ontario and LaVerendre Provincial
Park in Quebec, interchapter trips
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?
Paul Glazebrook
256 Slaten St. Dracut MA 08216
p.glazebrook@gmail.com
Home 978-957-1354
Work
Cell 617-852-1975
WFA
AWFA
WFR
Expiration: to be renewed
CPR
BLS
Expiration: to be renewed
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.
Temagami Canoe 7 day 2013
Missinaibini River 2014
Appalachian Trail in Maine 2014
Rxtensive wilderness canoe experience
Yes
No
If yes, please describe below:
Co-leader has led similar trips in Temagami. Both leaders have led similar trips in
other areas of Canada
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
Form Revised Arpil 2013
Day 1 - Meet at co-leader house in MA and carpool to Temagami. Overnight at
Smoothwater lodge
Day 2 shuttle and put-in and paddle to a campsite Day 3-7 up to 20 km paddle per day
camping in a different lake each night. Lakes include Lady Evelyn Lake, Sucker Gut
Lake, Willow Lake, Diamond Lake and Lake Temagami. Note itinerary can change
based on weather conditions
Day 7 end trip and take-out. Drive home arrive day 8.
First night at a lodge in Temagami.
Camping in 2 person tents
Dinner and breakfast at the lodge
Camp meals
One breakfast at a lodge on the trip
Arrange for shuttle and transportation to put-in
Adventure Travel Trip Proposal Form, page 2 of 5
Robert White/Paul Glazebrook
Lady Evelyn - Temagami Wilderness Canoe Trip
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)
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:
Daily camping fee for Temagami Provincal Park. Obtain at put-in.
If no, please describe the process you went through to find out that they were not
required:
Special equipment
Yes
No
If yes, please describe below what type of equipment and how you
Does the trip require special
will ensure that people know how to use it:
equipment?
Special experience
Yes
No
If yes, please describe below what type of experience? Also describe
Does the trip require special
how you will ensure that the participant has this experience?
skills on the part of the
Able to paddle and portage a canoe. If no prior experience, we will require a pre-trip
participant?
paddle and instruction
Pre-trip activities
Yes
No
If yes, please describe below what you will do:
Do you plan to get your group 3 day weekend trip on the upper Connecticut River
together before the trip for an
activity or social event?
Co-leader will lead a talk on the ecology and geology of the region
Conservation, education and
Both leaders will teach leave no trace camping skills
recreation
How will this AMC-AT trip meet the
Co-leader will talk about pictograms
mission of the AMC?
Leader will organize canoe rescue practice.
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:
Liability? Yes
No
Are they willing to list AMC as an
additional insured?
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
Cold and water emersion, wind and waves on lakes, bears in camp,
Response
Canoe together, practice rescues, lay-over if strong wind or waves, maintain clean
campsite and use bearproof containers
Form Revised Arpil 2013
Adventure Travel Trip Proposal Form, page 3 of 5
Lady Evelyn - Temagami Wilderness Canoe Trip
Foreign Country
Potential hazards
Response
Transportation
Potential hazards
Response
Participants
Potential hazards
Response
Other
Potential hazards
Response
Robert White/Paul Glazebrook
Political concerns, crime, language translation, terrorism
Minimal, safe country
Road conditions, drivers, insurance
Driver fatigue
Rotate drivers, stop when necessary
Level of fitness, screening concerns, experience with equipment or activity
Poor fitness, difficulty paddling a canoe
Pre-screen, pre-trip practice, teaching skills on the go
Conditions unique to this type of trip
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
See below
Emergency communication
Phone contacts, language,
documentation, distance from
emergency services
Co-leader has a DeLorme In-reach that can send email messages. His wife will serve as
Emergency equipment
What sort of emergency first
emergency coordinator. She can receive emergency messages from the wilderness and
aid or communication
in turn can contact the Ontario Provincial Police if necessary. There is 1 wilderness
equipment (satellite phone,
lodge on Lake Temagami that can respond to emergencies.
two-way radios) do you plan
to use, if any?
Responsibility of the Ontario Provincial Police. Can be reached by 911 or 1-888-310Evacuation
Please describe your plan for
1122.
evacuation from the
backcountry location if
applicable?
Nearest hospital is North Bay Regional Health Centre, 50 College Dr., North Bay,
Medical care
Please describe the medical
Ontario. Phone 1-705-474-8600. North Bay is about 100 km south of Temagami. One
care available in the area(s)
of the lodges on Lake Temagami often employs a physician for the summer who is
where you will be traveling
available for emergencies. Primary care available in Temagami.
and list names and telephone
numbers for these facilities.
COST AND BUDGET DETAILS
Exchange rate 1 US dollar=$1.124 Canadian. Plan for a 6 %
Foreign currencies
For int’l trips list each foreign currency, the
contingency to protect against currency swings.
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?
None
Group Trip Deposits
What deposits will be required
from you by airlines, hotels, tour
operators, etc., and when?
Since there are no deposits required in advance, we can likely refund most of the fee
Group Trip Refunds
What is the latest date you can
up to one month prior to the trip.
cancel and still receive a full
refund of any deposits?
$300 at the time of application. Balance due one month before trip.
Participant deposits
Form Revised Arpil 2013
Adventure Travel Trip Proposal Form, page 4 of 5
Robert White/Paul Glazebrook
Lady Evelyn - Temagami Wilderness Canoe Trip
What are the initial deposit and
your schedule of payments by
participants to you?
Cancellation policy
What will be your cancellation
policy for the participants?
Minimum numbers
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 Arpil 2013
Full refund if replacement found. Refund of any deposit is based on policy that
cancellation shall not increase the cost to any other participant or leader.
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/committee/proposals/
nholland@outdoors.org
amcatchair@comcast.net
Adventure Travel Trip Proposal Form, page 5 of 5