Trip Planning Form – Outdoor Programs

Trip Information

Trip Name(Required)

Confirmed Departure Date(Required)

Confirmed Departure Time(Required)

Confirmed Return Date(Required)

Confirmed Return Time(Required)

Confirmed Pre-Trip Meeting Date, Time and Location(Required)

Confirmed Trip Itinerary: Please include dates/times, day to day activities, overnight camping locations, overnight vehicle locations.(Required)

If this is the same from your trip proposal form, feel free to copy and paste that information here. If it’s been updated, please be sure to include the up-to-date information.

Trip Leadership Information

Trip Leader #1 K Email Address(Required)

Please be sure this information is correct so that this leader gets a copy of this form.

Trip Leader #1 Phone Number(Required)

Trip Leader #2 K Email Address

Please be sure this information is correct so that this leader gets a copy of this form.

Trip Leader #2 Phone Number

Trip Leader #3 K Email Address

Please be sure this information is correct so that this leader gets a copy of this form.

Trip Leader #3 Phone Number

Please enter each Driver's Name, Email, and Phone Number. You can click the plus symbol to add a new line for each driver.

List the name, email, and phone number for your on-campus contact.(Required)

This information will be given to you by OP staff.

Weather

What's the weather forecast for your trip? If a multi-day trip, please break down the weather by day.(Required)

Be sure to list if weather will be sunny/cloudy, any precipitation amounts/percentages/estimated timing, any potential storms, etc.

What is the weather requirement(s) for running the trip?(Required)

Items to consider: weather for driving, if the activities are dependent on precipitation/no precipitation, rainy day plans, etc.

Contingency and Emergency Plans

List the name, phone number, hours, and address of the nearest local medical center during your trip (ex. Urgent Care, Rapid Care, etc.).(Required)

List the name, phone number, and address of the closest hospital during your trip (24/7 Emergency Room services):(Required)

Enter directions to the hospital from your starting location (i.e. campground, where your vehicle will be parked, etc.).(Required)

Use google maps. Include mileage for each step, total distance, and total time.

List the name, phone number, and address of the park headquarters where your trip will take place (if applicable).

List the name, phone number, and address of the county sheriff where your trip will take place:

Additional contacts: Jory Horner, Outdoor Programs Director, 503.580.0960 Jess Port, Outdoor Programs Assistant Director, 518.935.8873 K College Campus Safety: 269.337.7321

Outdoor Activity Risk Assessment

Select ALL risks potentially associated with this particular trip.(Required)