Site Administration The College of William and Mary

APPENDIX B-2
College of William and Mary Recreational Sports

OUTDOOR, ROCK CLIMBING AND SCUBA CLUB

TRIP PLAN

STOP! Before completing this form make sure you can answer "YES" to the following 3 questions:

1. Is your EVENT REGISTERED? ALL events must be registered prior to completing the Trip Plan. Use "Appendix A - Activity Registration" to register your event. Check current list of registered events here.

2. Is your ROSTER UPDATED? Make sure all individuals traveling & participating as club members have completed all required forms. Then, be sure to update them on your roster. Individuals NOT listed on the roster may NOT participate in club activities! Check your club's roster here.

3. Are all of your DRIVERS AUTHORIZED? Any person (club member, coach, alumnus, or friend) driving to/from official away club events must complete "Appendix D - Driver Authorization". Check current list of authorized drivers here.

   
Club Requesting Travel
Purpose of Trip
Destination (School, City, State)
Departure Date(day of week and date)
Departure Time
(time leaving W&M)
Return Date(day of week and date)
Return Time(time returning to W&M)
Primary Trip Leader
Primary Trip Leader Cell Phone #
 
Participant Info
List first and last names of all participants going on this trip:
 
Trip Leader Information
Any club going on a trip in a wilderness context (defined as more than 2 hours from advanced medical care), must have two trip leaders, each certified in a minimum of First Aid and CPR.
 
Name of Trip Leader 1:
   
Does Trip Leader 1 have both current First Aid and CPR certifications?
 
Has Trip Leader 1 undertaken any trip leader in-service trainings, either through W&M or elsewhere? If yes, please describe below.
 
List any training / experience that Trip Leader 1 has that makes him / her qualified to lead this trip:
 
Name of Trip Leader 2:
   
Does Trip Leader 2 have both current First Aid and CPR certifications?
 
Has Trip Leader 2 undertaken any trip leader in-service trainings, either through W&M or elsewhere? If yes, please describe below.
 
Describe any training / experience that Trip Leader 2 has that makes him / her qualified to lead this trip:
 
Driver Information
Name of Driver 1
 
Has Driver 1 submitted an online Driver Authorization Form?
A driver need submit the Driver Authorization Form (Appendix D) only once each academic year, UNLESS circumstances change regarding his/her driver's record.
 
Will Driver 1 be driving a van / rental vehicle?
Must have taken a W&M Defensive Driving Course to drive any van or rental vehicle
 
Listing of all club members traveling as passengers in this driver's vehicle:
 
Name of Driver 2
 
Has Driver 2 submitted an online Driver Authorization Form?
A driver need submit the Driver Authorization Form (Appendix D) only once each academic year, UNLESS circumstances change regarding his/her driver's record.
 
Will Driver 2 be driving a van / rental vehicle?
Must have taken a W&M Defensive Driving Course to drive any van or rental vehicle
 
Listing of all club members traveling as passengers in this driver's vehicle:
 
Name of Driver 3
 
Has Driver 3 submitted an online Driver Authorization Form?
A driver need submit the Driver Authorization Form (Appendix D) only once each academic year, UNLESS circumstances change regarding his/her driver's record.
 
Will Driver 3 be driving a van / rental vehicle?
Must have taken a W&M Defensive Driving Course to drive any van or rental vehicle
 
Listing of all club members traveling as passengers in this driver's vehicle:
 
Name of Driver 4
 
Has Driver 4 submitted an online Driver Authorization Form?
A driver need submit the Driver Authorization Form (Appendix D) only once each academic year, UNLESS circumstances change regarding his/her driver's record.
 
Will Driver 4 be driving a van / rental vehicle?
Must have taken a W&M Defensive Driving Course to drive any van or rental vehicle
 
Listing of all club members traveling as passengers in this driver's vehicle:
 
Name of Driver 5
 
Has Driver 5 submitted an online Driver Authorization Form?
A driver need submit the Driver Authorization Form (Appendix D) only once each academic year, UNLESS circumstances change regarding his/her driver's record.
 
Will Driver 5 be driving a van / rental vehicle?
Must have taken a W&M Defensive Driving Course to drive any van or rental vehicle
 
Listing of all club members traveling as passengers in this driver's vehicle:
 
Name of Driver 6
 
Has Driver 6 submitted an online Driver Authorization Form?
A driver need submit the Driver Authorization Form (Appendix D) only once each academic year, UNLESS circumstances change regarding his/her driver's record.
 
Will Driver 6 be driving a van / rental vehicle?
Must have taken a W&M Defensive Driving Course to drive any van or rental vehicle
 
Listing of all club members traveling as passengers in this driver's vehicle:
 


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