ITINERARY FORM

ITINERARY
An Itinerary Form to leave with a relative
or friend in the event of an emergency.

Names and ages of the members in your party
Include addresses, phone numbers, and emergency contacts.

Cell Phone Numbers

Departure Date:
Return Date:
Destination:
Directions:
Alternate Route:

Vehicle Year:
Make:
Model:
License Plate Number:
Discription:

Phone Numbers of Local Authorities
State Police:
Sheriff Dept.:
Forest Service
BLM Office:
Park Service:

Trailer Make and Model
Trailer License Plate Number

Motor Home Make and Model
Motor Home License Plate Number

Type and color of boat, canoe, ect.

Discription of tent (Model, color, ect.)

Campgrounds and dates
Include the addresses and telephone numbers

If unsure of actual itinerary, give a brief discription
and any confirmed destinations, date, and time

Arrange date/time to call and check in with
a friend or family member

More detailed itineraries could include
the color of jackets and clothing. Include
a list of any emergency equipment and
supplies, radio frequencies, ect.

DISCLAIMER:
This Itinerary Form is a general version.
Before venturing out into the wilderness,
make sure your vehicle is in good operating
order and you are prepared with proper
supplies. Know the weather conditions
and limitations of your equipment.

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CAMPING CHECKLISTS
ITINERARY FORM