Blue Otter Outfitters Float Plan
When do you depart?
*
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
When do you return?
*
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Who is leading your trip?
Name of Trip Leader
*
First Name
Last Name
Email
*
example@example.com
Cell Number
*
-
Area Code
Phone Number
Alternate Number
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is the trip leader renting from Blue Otter Outfitters
*
Yes
No
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Who is going on the trip?
Name of Party 1
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Info for party 1:
Age
Gender
PFD Color
1
Male
Female
Name of Party 2
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Info for party 2:
Age
Gender
PFD Color
2
Male
Female
Name of Party #3
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Info for party 3:
Age
Gender
PFD Color
3
Yes
No
Name of Party #4
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Info for party 4:
Age
Gender
PFD Color
4
Male
Female
Name of Party #5
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Info for party 5:
Age
Gender
PFD Color
5
Yes
No
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Next
DETAILED DESTINATION AND ROUTE – *BE SPECIFIC
DETAILED ALTERNATE DESTINATION AND ROUTE – *BE SPECIFIC
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PERSONAL GEAR
PERSONAL KAYAKS JOINING GROUP:
Kayak Make/Model
Color
Single/Double
Kayak 1
Single
Double
Kayak 2
Single
Double
Kayak 3
Single
Double
Kayak 4
Single
Double
COMMUNICATIONS GEAR
Cell Phone
VHF Radio
NAVIGATION GEAR
Charts
Compass
GPS
DISTRESS SIGNAL GEAR
Flares
Orange Smoke
Orange Flag
PLB (Personal Locator Beacon)
OTHER GEAR/EQUIPMENT
Immersion Wear
Tow Belts
First Air
Spare Clothing
Shelter
Stove
Repair Kits
Other (Please explain below)
Other Equipment Details:
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Next
Vehicles
VEHICLES PARKED LOCALLY FROM GROUP
Make/Model
State/Country
License #
Parking Location
VEHICLE 1
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Canada
Mexico
VEHICLE 2
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Canada
Mexico
VEHICLE 3
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Canada
Mexico
VEHICLE 4
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Canada
Mexico
VEHICLE 5
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Canada
Mexico
Provide at least 2 Emergency Contacts
EMERGENCY CONTACT 1
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
EMERGENCY CONTACT 2
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Submit
Should be Empty: