Rathanaks Permission Slip
Rathanaks Permission Slip
Rathanaks Permission Slip
TRIP DESCRIPTION: This trip is great for a group looking for a relaxing yet adventurous weekend. Nothing provides a better bonding experience than a weekend in the woods together. We will drive to our campsite on Saturday, set-up and enjoy a campfire. On Saturday, we will pack-up and head to a local trailhead for a day of hiking. The White Mountains have a lot to offer hikers from streamside cascades and waterfalls to breathtaking vistas. We will explore a corner of this beautiful wilderness, before heading back late to campus. COST: $20 for students, cost varies by location, $30 for students if food is included INCLUDED IN TRIP COST: Transportation12 passenger van, unless otherwise noted. Activity Equipment includes tent, kitchen equipment, sleeping bags, etc. with the exception of some clothing and personal items listed on the packing list. Camping, Parking, & Entrance Fees Instruction and Leadership Food may be included at an additional $10/per person cost covers SMores, Breakfast & Lunch & Dinner, Snacks CANCELLATION DATE: Cancellation must occur no later than 2 weeks before the scheduled trip to receive a full refund. PHYSICAL EXERTION LEVEL & PREREQUISITES Low to Moderate depending on trail TENTATIVE ITINERARY: itineraries are subject to change based on group needs Saturday: o 10:00am Meet at the Campus Recreation Center, gear up and hit the road o Lunch on the road o 2:00pm Arrive at cabins, set-up, enjoy a campfire o Dinner Provided by staff o Ghost stories and group bonding Sunday: o 9:00am breakfast in camp o Head to trail head & hike o 4:00pm return to van o Head back to cabin o Dinner provided by staff Monday: o Breakfast o Final activities o Lunch on the road o 3:00pm arrive on campus, unload gear, goodbyes
PACKING LIST: The items on this list are HIGHLY recommended for your trip. Current temperatures and personal preference should be considered when packing. Please contact us if you have any questions or have trouble acquiring any of the items on the list. A (*) denotes items that can be provided for you at no additional charge.
Baseball cap or full-brim hat (for sun protection) Beanie Hat (quick fix for chilly conditions, wool or fleece is best) Insulating jacket (fleece is ideal) Shirts (quick-dry material such as nylon or polyester is preferred) Shorts and/or pants (dress for the current tempsavoid cotton, quick-dry material is preferred) Underwear Hiking Boots or Athletic shoes (good tread and ankle support is a must for those rocky trails, no
sandals of any kind while hiking) Camp Shoes (to be worn around camp or in the vanathletic shoes or sport sandals are idealno flip flops!) Sunglasses (add a keeper strap for security) Sunscreen & lip balm (15 SPF minimum) Camera (protective case is highly recommended) Personal medications (inhaler, epinephrine, etc.) Personal medical insurance card Toiletries (if you wear contacts bring an extra set) Feminine hygiene products Money (food on the road and/or possible souvenirs) Book or journal (great for the van or down time on the trip) Hand sanitizer (keeping clean is a good thing) Insect repellent (no need for a huge bottle, personal size will be adequate) Rain jacket (jacket is a must, provides great rain and wind protection) Mess kit (plate, mug, eating utensils a small plastic Tupperware bowl and mug work great) *2 water bottles (quart size) *Sleeping bag (with proper temperature rating for the season, we use 0 or 20 degree bags) *Sleeping pad (provides warmth and comfort while snoozing) *Headlamp (you must provide 2AAA batteries if borrowing one of ours) Duffel Bag or Backpack(to keep your stuff together) Snacks
Note: We will distribute other equipment specific to the activity at the pre-trip meeting or on trip departure day. If you have any personal equipment you would like to bring on this trip, please contact the trip leaders can make sure it is appropriate for the needs of this trip. For further questions or information, please contact us: 978-934-1969 | Stephen_Pennel@uml.edu
883 Broadway Street Lowell, Massachusetts 01854-5131 tel: (978) 934-1969 web: http://www.uml.edu/campusrecreation/ CAMPUS RECREATION CENTER OUTDOOR ADVENTURE PROGRAM
Conditions of participation are that every student agrees to abide by the rules governing this activity, to cooperate with the advisor and to obtain a liability waiver from his/her parent or guardian. Every effort will be made to insure proper safety conditions and supervision. The school, the district and the advisor will not accept legal responsibility for accidents or injuries. I acknowledge that this Accident Waiver and Release of Liability (AWRL) form will be used by UMASS LOWELL, CAMPUS RECREATION CENTER, and the sponsors of the event in which I may participate and it will govern my actions and responsibilities at aid event. I hereby consent to receive medical treatment that may be deemed advisable in the event of injury, accident, and/or illness during this event. I understand that at this event or related activities I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizers, and/or assigns. If you agree to permit your daughter/son to accompany other students on this field trip with this understanding, please sign the permission slip and waiver of liability. This form must be turned in by the student prior to departure.
I hereby certify that I have read this document and I understand its content. Student Name: ________________________________________________ Signature: _________________________________________________ Date: _______ I hereby certify that I have read this document and I understand its content. Section only needs to be completed if Student is under the age of 18. Parent Guardian Name: ____________________________________________________ Signature: __________________________________________________ Date: _______