Trentham United PLB Intentions and booking form
The responses will be emailed to three members of the committee who in the event the PLB is activated will forward this information to the rescue services.

It is important that you have another person who will raise the alarm in the event you do not return at the time specified.
TRENTHAM UNITED will only use these details in the event the PLB is activated. You may be delayed and still not activate the PLB so it is important that you have a close friend or family member that will raise the alarm.
Email address *
Date you will collect PLB from club room *
MM
/
DD
/
YYYY
Date you will return PLB to club room *
MM
/
DD
/
YYYY
EXPECTED DATE OF RETURN OF TRIP *
MM
/
DD
/
YYYY
Time
:
WHAT ARE YOU DOING AND WHERE ARE YOU GOING? *
INTENDED ROUTES & ALTERNATIVES - INCLUDING START DATE AND TIME. Note: Always enter your progress and changes to plan in hut logbooks, even if you don’t stay overnight.
Your answer
FULL NAME OF PLB USER *
Your answer
CELL PHONE NUMBER OF PLB USER *
Your answer
HOME PHONE NUMBER OF PLB USER
Your answer
ADDRESS OF PLB USER
Your answer
ANY MEDICAL CONDITIONS & MEDICATION OF PLB USER *
Your answer
LIST NAMES, PHONE NUMBERS, ADDRESSES AND MEDICAL CONDITIONS OF OTHER GROUP MEMBERS
Your answer
WHAT TYPE OF EMERGENCY EQUIPMENT ARE YOU CARRYING? *
Required
HOW ARE YOU TRAVELLING TO AND FROM THE AREA? *
Include: Type of vehicle. Please also include name of bus/rental car company, if applicable. IF YOU ARE LEAVING A VEHICLE IN THE AREA FOR YOUR RETURN, PLEASE ALSO PROVIDE; REGO, MAKE AND MODEL, COLOUR AND WHERE YOU ARE PARKING.
Your answer
Who is your trusted contact that will raise the alarm should you not return on time and what is their mobile number ? *
We will use these details should we be contacted as a result of the PLB being activated.
Your answer
REMEMBER TO TELL YOUR TRUSTED CONTACT AS SOON AS YOU HAVE RETURNED SAFELY.
A copy of your responses will be emailed to the address you provided.
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