Pre-Trip Details for Leaders & On Campus Call Person
Please remember to print and/or save a copy of this form in case of an emergency. Also remember to have your participants fill and print out medforms which can be found at the following link! (http://harvardoutingclub.org/wp-content/uploads/2012/10/HOC-Medform-and-Waiver.pdf) Extra blank medforms can also be found in the left desk file drawer.
Contact info of leaders:
Your answer
Name of Mountain and location of trailhead:
Your answer
Trail:
Your answer
Alternative/Emergency Evacuation Route:
Your answer
Weather
Your answer
Have you checked for any serious medical conditions?
Including asthma, serious allergies, or past physical injuries.
Closest Hospital to Trailhead:
Please also include the hospital's phone number!
Your answer
Check in date:
Emergency services will be alerted if we cannot get in contact with you at this time.
MM
/
DD
/
YYYY
Check in time
Emergency services will be alerted if we cannot get in contact with you at this time.
Time
:
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