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CANOE DESCRIPTION
Make     Model     Color  
Type:   Solo Tandem Fiberglass Plastic Kevlar Royalex Cedar

TENT DESCRIPTION
Make     Model     Color  

VEHICLE DESCRIPTION

Truck or Car
Make     Model     Color  
Prov/State   License Plate #  
Where Parked  

TRIP DETAILS
Park or Area  
Route

By route, river(s) or lake(s). List in order of Travel.
Put-in

Place:

Time and Date:
Expected Take-out

Place:

Time and Date:
LeeWay

Rough travel or bad weather cause delays. How many days leeway before calling authorities
Other Pertinent Details  
Cell Phone Number  
Satellite Phone

GlobalStar or Iridium       Complete Phone Number:
PLB NO    YES (Registered with which Authority)
Radio

VHF channel 16     HF 2182     UHF 121.5(receive only or two-way)     CB
First Aid Kit

Basic or Advanced
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INDIVIDUAL DATA

Each member to fill out
Name  
Physical Description

Age:
Race:
Color of eyes:
Height:
Weight:
Contacts or Glasses:
Noticable Scars or Deformaties:
physical condition:
Existing Medical Conditions  
Medications  
Allergies

Epi-Pen Carried: Yes No
First Emergency Contact Relationship:
Day Phone:
Evening Phone
Second Emergency Contact Relationship:
Day Phone:
Evening Phone
Other Pertinent Details  
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USEFUL PHONE NUMBERS
Local Police:  
Provincial Police or State Troopers:  
Park Service:  
Local SAR  
Expeditor

Company Name:
Address:
Contact Person:
Phone Numbers:
   
   
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