Wilderness Survival Guide 37 MY OUTDOOR ACTIVITY PLANS, EQUIPMENT & SUPPLIES Complete this form prior to an outdoor adventure and leave it with a responsible person. Your life may depend on it! Start: Day of Week Date Month Time Intended Return: Day of Week Date Month Time Purpose of Trip: Day Hike 1/2 Day Hike Overnight Hike Climbing Fishing Hunting Skiing Snowmobiling Canoeing/Kayaking Mushroom Picking Other: __________________________________________ Route Plan A Specific Area: ________________________________ Intended Route in (be specific): ________________ ______________________________________________ Intended Route out (be specific): ______________ ______________________________________________ Destination: __________________________________ Route Plan B – Alternate Specific Area: ________________________________ Intended Route in (be specific): ________________ ______________________________________________ Intended Route out (be specific): ______________ ______________________________________________ Destination: __________________________________ 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:______________________________________ Equipment/Supplies taken: Backpack First Aid Kit Whistle Skis Water Flashlight Snowshoes Extra Clothing Firestarter Avalanche Beacon Stove Sun Protection Tent (colour): ________________________________ Food (days per person): ________________________________ Radio (frequency channel): ________________________________ Signaling Device: ______________ Personal Locator Beacon (PLB#) ________________________________ Cellular Phone No.: ________________________________ Firearms: ________________________________ RV, ATV, Boat, Snowmobile (description): ________________________________ ________________________________
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