START: ________ ________ / ________ Day of Week Date Month INTENDED
RETURN: _______ _______ I _______ Day of Week Date Month PURPOSE OF TRIP:________________________ ( ) Day Hike ( )
1/2 Day Hike ( ) Overnight Hike ( ) Multi Day Hike ( ) Fishing ( ) Climbing ( ) Skiing ( ) Hunting ( ) CanoeinglKayaking
( ) Snowmobling ( ) Mushroom Picking ( ) Other: THE TRIP:___________________________________
________________________________________ General Area:___________________________________
________________________________________ Specific Area: ______________________________________
Intended Route in (be specific):______________________________ ________________________________________
________________________________________ Intended Route out (be specific):______________________________
________________________________________ ________________________________________
Destination:____________________________ ________________________________________
Local Landmarks:______________________________ ________________________________________
Map Used:_______________________________ B.C. Hunting and Fishing Regulations Management Unit:________________________
Transportation to and from the starting point :_______________________________________ Vehicle Licence No.:
________________________________ Make/Model. ________________ Colour. _____________ Owner:__________________________________
or Dropped Off at Starting Point by: Name:____________________________ Phone:___________________________
To Be Picked Up at End Point by: Name: _______________________ Phone: ______________ Time: __________________________
Date: _________________ Location: Other rendezvous points used by the group:__________________________________
________________________________________ EQUIPMENT/SUPPLIES TAKEN: ( ) Backpack ( ) Water ( ) Firestarter ( )
First Aid Kit ( ) Flashlight ( ) Whistle ( ) Avalanche Beacon (PIEPS) ( ) Snowshoes ( ) Stove ( ) Skis ( ) Extra Clothing
( ) Sun Protection ( ) Tent (colour):__________________ ( ) Food (days per person): ( ) Radio (type and
frequency): ( ) Signalling Device: ______________________________ ( ) Personal Locator Beacon (PLB#):_____________________
( ) Cellular Phone No.: ___________________________ ( ) Firearms: ( ) RV, ATV, Boat (description): DETACH
AND LEAVE WITH A FRIEND Fresh Water Fishing Regulations Synopsis Unit:__________________________________
DESCRIPTION OF THIS TRIP’S MEMBERS: DETACH AND LEAVE THIS HALF WITH A FRIEND Person 1_________________Last
Name____________________First Name____________________Age______Height______ Weight______ Hair& Skin________
Person 2________________Last Name___________________ First Name___________________Age______Height_____ Weight______Hair&Skin________
Person 3_____________________Last Name__________________________First Name__________________________Age____Height______Weight_______
Hair& Skin________ Person 4_________________Last Name_________________First Name__________________ Age______
Height_______ Weight________ Hair and Skin_______ Family Doctor___________________ Hat Colour___________ Coat
Colour_______________ Shirt/Sweater_______________ Pant Colour________________ Footwear Type_______________ Personal
Preparedness : Survival Training ( )________ Outdoor Experience ( ) ________ First Aid ( )___________ Avalanche Awareness
( )____________ Skier ( )___________ Snowshoe ( )___________ THE FOLLOWING WILL BE NOTIFIED IF I / WE CHANGE DESTINATION:
Name:_______________________ Home Phone: ___________________ _________________________________ Address:________________________________
Work Phone:_____________________ DESTINATION:___________________________ _______________________________________
_______________________________________ PLEASE NOTIFY THE POLICE IF I/ WE DO NOT RETURN BY: Date _______________
Time ______________ Signature:_______________ ~
