Where I am Riding

The use of this form is strictly for your safety as well as for the well being of your family left behind. Fill this out before you ride & leave it at home. Feel free to copy this form for future rides.

Today's date: ___________________________

Trailhead destination or nearest support town ___________________________________________

We are going to ride the___________________________________________________________ Trail (s).

Radio Channel # ______ Sub-channel # _____ Expected back at _____________________

Riding with _______________________________________________________________

The brand & color of snowmobiles we will be using are

________________________________________________________________________________________
Make, color & license of our "towing" vehicle is

________________________________________________________________________________________
If we have not reported in by the designated time above, please contact

________________________________________________________________________________________

Primary Care Physician is Dr. ______________________________________________

Insurance Company is ____________________________________________________


Our mobile # is __________________________