10th Mountain Division Hut Association Backcountry Exploration Questionnaire

10th Mountain Division Hut Association Backcountry Exploration Program Discovery Questionnaire for Trip Leaders

Use TAB to advance to the next question – if you use ENTER your form will submit before you are finished!

Organization Information Name of Organization: Not-For-Profit #: Mailing Address: City: State: Zipcode: Phone #: Email:

Trip Leader Information Name of Trip Leader: Mailing Address: City: State: Zipcode: Phone #: Email:

About the Trip What are the primary goals for your trip? What will be your itinerary and what topics/subjects will you be emphasizing? Given the demands of backcountry travel and lack of creature comforts (electricity, running water, food service, etc.), are the huts the appropriate location for your group?

What is the primary mode of transportation for your trip?

Skis Snowshoes Hiking Mountain Biking Other What specific huts are you interested in booking?

About the Leader(s)

Leader #1

Name of Leader Age Medical Training Leadership Experience Personal Experience

Rate this leaders map and compass skills

Inexperienced Moderately Experienced Experienced Expert

Rate this leaders Avalanche Awareness skills

Inexperienced Moderately Experienced Experienced Expert

Rate this leaders Survival & Rescue skills

Inexperienced Moderately Experienced Experienced Expert

Leader #2 (optional)

Name of Leader Age Medical Training Leadership Experience Personal Experience

Rate this leaders map and compass skills

Inexperienced Moderately Experienced Experienced Expert

Rate this leaders Avalanche Awareness skills

Inexperienced Moderately Experienced Experienced Expert

Rate this leaders Survival & Rescue skills

Inexperienced Moderately Experienced Experienced Expert

About the Participants

How many participants will be on this trip?

Total #: Male Participants: Female Participants:

What is the age range of your participants?

Youngest: Oldest: Average:

Please rate the groups overall fitness level:

Below Average Average Highly Energetic

Please rate the groups overall skiing ability:

Beginner Intermediate Advanced Do members of your group have special needs or ADA requirements? If yes, please describe: List any additional comments, questions or requests below:

Upload a copy of your CO State Tax ID Certificate (#98)

We look forward to working with your organization. Please contact us with any questions: 970/925-5775 Monday – Friday, 8 – 4pm or huts@huts.org.