Lynne Zimmerman/Error! Bhutan Trek Reference source not found. SUMMARY OF TRIP INFORMATION Bhutan Trek Leader Lynne Zimmerman Bhutan October 21 - Nov 2, 2015 Backpacking 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 Co-leader Total # of days 13 Bicycling-Mountain Bicycling-Road Camping Cultural Family Hiking Paddling-Canoeing Paddling-Sea-Kayaking Skiing-CrossCountry (Nordic) Trekking (e.g., hutto-hut) Hiking Minimum 8 Skiing-Downhill Snorkeling (Alpine) Walking Other – please describe Select one of those checked above. Maximum 11 $ 3,900.00 Does it include airfare? Yes No $ 1,769.00 Will leaders assist participants with flights? Yes No First Appearance: Month 9 Year 2014 Last Appearance: Month 7 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? 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 February 2014 Lynne Zimmerman 14 Pleasant Ave, Portland, ME 04103 lynnesz@yahoo.com Home Work Cell 207-595-0780 WFA AWFA WFR Expiration: 5/2015 will renew CPR BLS Expiration: 2016 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 NP with Naturalist 2011, 2012, 2013 New Zealand , Milford Track Alaska hiking Adventure Travel Trip Proposal Form, page 1 of 5 Lynne Zimmerman/Error! Bhutan Trek Reference source not found. Co-leader name Co-leader address Co-leader email Co-leader phone Wilderness first aid training CPR training* Prior leading experience Home Work Cell WFA AWFA WFR Expiration: CPR BLS Expiration: 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. 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? Yes No If yes, please describe below: Lynne was in Bhutan for 1 week in 2012 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 February 2014 We will be doing the Druk Path, rated moderate. There will be 6 days of treking and 4days of sight seeing in Paro and Thimphu. We will visit the famous "Tiger's nest" monastery.,the national museum, and several Dzongs 2days of travel 3 star hotels and camping Tourist restaurants serving buffet style meals, including traditional dishes.. Meals on trek provided by outfitter All meals included. provided by outfitter 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 2 of 5 Lynne Zimmerman/Error! Bhutan Trek Reference source not found. Does the trip require special If yes, please describe below what you will need to do to obtain them: permits or permissions? provided by outfitter (required on many U.S. If no, please describe the process you went through to find out that they were not federal lands and national required: parks) 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 participant? Pre-trip activities Yes No If yes, please describe below what you will do: Do you plan to get your group together before the trip for an activity or social event? learn about the culture of Bhutan Hike in a pristine area. Conservation, education and recreation How will this AMC-AT trip meet the mission of the AMC? www.outdoors.org/about/mission.cfm 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: Tour Guide required by Bhutan government entire trip? Name of tour operator/guide Rimo Expeditions service info@rimoexpeditions.com Tour operator website excellent Safety record Please provide information about their safety record. Insurance Liability? Yes No Maximum amt: $ Do they have liability Are they willing to list AMC as an Yes No insurance? additional insured? Guides have mountaineering and first aid training, carry a satellite phone. Helicopter Emergency response Please describe the outfitters’ evacuation available. They are an outfitter for Mountain Travel Sobek and the Indian response plan in the case of an Army among othe 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. Trail conditions, river crossings, weather, wildlife (bears, snakes, etc.) Climate/terrain Potential hazards weather, hiking on well established trail Response require appropriate clothing and equipment, screening, advise participants of hazards Political concerns, crime, language translation, terrorism Foreign Country Potential hazards politically stable Form Revised February 2014 Adventure Travel Trip Proposal Form, page 3 of 5 Bhutan Trek Lynne Zimmerman/Error! Reference source not found. Response Transportation Potential hazards Response Participants Potential hazards Response Other Potential hazards Response ,guides speak english Road conditions, drivers, insurance good roads drivers approved by government Level of fitness, screening concerns, experience with equipment or activity effects of altitude acclimate , Trek rated easy to moderate. Screen participants for recent hiking experience Conditions unique to this type of trip will advise participants regarding medications/immunizations per CDC will advise participants regarding hazards 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 guides have satellite phone, English speaking. Emergency communication Phone contacts, language, documentation, distance from emergency services Guides will have satellite phone and first aid equipment. Leaders will have first aid Emergency equipment What sort of emergency first equipment. aid or communication equipment (satellite phone, two-way radios) do you plan to use, if any? helicopter available if needed Evacuation Please describe your plan for evacuation from the backcountry location if applicable? Jigme Dorji Wangchuck National Referral Hospital phone 322496, 322497. Best Medical care Please describe the medical hoospital in Bhutan. Treatment is free, even for tourists. care available in the area(s) where you will be traveling and list names and telephone numbers for these facilities. COST AND BUDGET DETAILS Outfitter price in US dollars 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? 10% Deposits not made until minimum number of participants are met Group Trip Deposits What deposits will be required from you by airlines, hotels, tour operators, etc., and when? 10% deposit is non-refundable. 6 weeks prior to trip,50% of land costs nonGroup Trip Refunds What is the latest date you can refundable. 1 month prior to trip, no refund. Airfare, no refund 1 month prior to trip, cancel and still receive a full $50.00 not refunded after ticket purchased. refund of any deposits? $1,000.00 deposit with application., second payment of $1,000.00 due on April 1, Participant deposits What are the initial deposit and remainder due July 1.. your schedule of payments by Form Revised February 2014 Adventure Travel Trip Proposal Form, page 4 of 5 Lynne Zimmerman/Error! Bhutan Trek Reference source not found. 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 February 2014 Cancellation will not be allowed to raise the cost to other participants or the leaders. All payments may be lost . Insurance information will be provided.Money will be refuned less $100.00 if a replacement can be found by leader prior to 2 months before trip. Yes No If yes, please describe conditions: will consider based on number 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