OTMC Weekend Trip Registration and Search & Rescue (SAR) Form
Please complete this registration form if you are interested in participating in a OTMC weekend trip

Important to note:
The trip transport cost is payable on registration closing date - attendance not confirmed until paid.
To withdraw from a trip before the closing date, please email otmcdaytrip@gmail.com
Signing this list makes you liable to pay the trip cost if you withdraw after the closing date. Loop
Refunds only on written application to the committee
Remember to inform your SAR contact person when you get home
* Non-OTMC members are limited to 6 days tramping with us in a 12-month period


Powder Ridge/Long Ridge/Green Ridge crossover 
Date: 18th October
Grade: M (5-7hrs)
Registrations close: 15th October
Trip Coordinator: Rebecca & Helen - otmcdaytrip@gmail.com
Cost: $10

Takitimu Circuit (Labour Weekend Trip)
Date: 24 - 26 October
Grade: M-F (6-8hrs)
Registrations close: 19th October
Trip Coordinator: Rob Seeley - rob_seeley@yahoo.co.nz
Cost: TBC

Sign in to Google to save your progress. Learn more
Email *
Trip name *
Name (First & Last) *
Your phone number *
OTMC Member? *
Please list any medical conditions or allergies.  *
I have read the OTMC day trip participant guide -  https://otmc.co.nz/files/trips-general/otmc-trip-participants-guide.pdf  *
Your preferred grade for this trip *
  • E (Easy) 3-5 hours tramping time per day
  • E-M (Easy-Moderate) 4-6 hours tramping time per day
  • M (Moderate) 5-7 hours tramping time per day
  • M-F (Moderate-Fit) 6-8 hours tramping time per day
  • F (Fit) 7-9 hours tramping time per day
  • FE (Fitness Essential) 10+ hours tramping time per day
  • I (Instruction)
SAR Contact Person - name  *
Please provide an emergency contact name (someone who is not on the trip)
SAR Contact Person - number *
Please provide a number for your emergency contact 
Only contact SAR contact person in emergency  *
Select "yes" if this SAR contact person is a next of kin number ONLY eg. we will only contact them in an emergency but not if we are late
Vehicle Registration number (if you are able to take a vehicle)
Vehicle make, model, colour, max seating (including driver) if you are able to take a vehicles
Nb. All seats must have full seatbelts (not lap belts)
For transport planning, please let us know the earliest time you can depart for this trip? (24h clock) *
Time
:
Would you be interested in being part of a food group? *
Comments 
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report