Southland Tramping & Outdoor Recreation Club –

Trip List


Destination


Trip Grade/Type


Trip Date


Cut off Date

  

Departing From


Departure Time/Vehicle


Trip Leader


Panic Date


Trip Leader Phone No


Emergency Contact Person Name & Phone No



The Trip Leader, President or Club Captain has the right to refuse the inclusion of any person who, in their opinion, is physically unfit, has not sufficient experience, or has not adequate equipment. 

​​​​​​​ ​​​​​​​Listing of a name for a trip will commit a person to pay the full transport cost plus food.  Refund only by written application to the Committee.

       IF YOU HAVE A MEDICAL CONDITION OR TAKE MEDICATION PLEASE INFORM THE TRIP LEADER - AND HAVE I.C.E. FORM WITH YOU



Name

Phone

Email Address (write legibly)

Emergency Contact

Emergency  Contact

 Misc

Person (First Name)

Phone No

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