Professional Documents
Culture Documents
Hiking Trip
Cumberland Island National Seashore,
GA
When: March 22-28
For: 10 High School Seniors
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Table of contents
PURPOSE..PG.3
GOALS/OBJECTIVES..PG.3
CUMBERLAND ISLAND MAP.PG.4
RESERVATION AND FEES..PG.5
GROUP FEE WAIVER FORM..PG. 6 & 7
RESERVATION FORM..PG. 8 & 9
PERMITS AND CAMPSITES....PG. 10
TRANSPORTATION....PG.11
ITINERARY..PG.12 & 13
BUDGET..PG. 14
MENU..PG. 15
WHAT TO BRING/WEAR..PG. 16
HIKING WAIVER FORMPG. 17, 18, & 19
REFERENCES.PG. 20
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Purpose
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Goals
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Objectives
Students will name 3 types of animals that Cumberland Island is an important habitat for
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Date of Reservation
School Name
Time of Reservation
Address
Reservation Confirmation
#
City/State/Zip
Phone
Grade Level
Requestors Signature
# of Adults
# of Children
Total #
Request for Fee Waiver Please comply with items 1-3 below.
1. Proof of Educational Status: Recognition of your institution as an educational entity; This will normally be your
certificate of accreditation from a governmental or other agency authorized to regulate educational institutions, a
tax ID number issued by the IRS or National, State or Local tax authority, or letter from academic institution
confirming visit qualifies for transferable academic credit based on curriculum.
2. Statement of Educational Purpose: Provide a written explanation of the educational purpose and how it is
related to park resources is required. Course outlines, lesson plans, or a copy of the curriculum meet this
requirement.
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3. Course Title, Catalog Number, and Description or Grade Level and Subject Matter and how you will use the
park resources to meet these goals.
(DO NOT WRITE BELOW THIS LINE)
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RESERVATION FORM
Cumberland Island National Seashore Reservation Fax Form.
Fax Number (912) 673-7747 Faxes accepted Monday Friday 10:00am 4:00 p.m. If you do not receive
confirmation back by fax or phone call, please call the reservation office at 877-860-6787. Form must be
completely filled out for reservation to be processed.
Name: _________________________________________________________________
Address: _______________________________________________________________
City: __________________________________________________________________
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Credit Card: Visa/MC CCV #_____
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CC#: _______________________________________________Expiration MM/YY_____
Number in party:
Adults: _________ Children (12 and under): _________ Senior Citizens (65 and over):_________
($20.00 each)
($14.00 each)
($18.00 each)
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Would you accept a partial reservation if your full dates are not available? YES: _____NO: _____
Example: Your preferred dates are Jan.1st to Jan. 7th but only Jan. 1st to Jan.5th are available.
How many nights do you want to stay? __________ (Up to seven are permitted in campsite)
($12.00 each)
($12.00 each)
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WILDERNESS/BACKCOUNTRY CAMPING
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Transportation
We will be renting a Ford Econoline 12-seat passenger van from Washington County
Regional APO Budget Car Rental: 18434 Showalter Road Hagerstown, MD 21742
Cost: $750.58 for 8 days
Estimated Fuel Cost: $113.56
We will drive from Shepherdstown, WV to St. Marys, GA: 11 hours 29 mins
Two adult leaders will alternate driving
Destination address: 113 St Marys St, St Marys, GA 31558-4900
Cumberland Island National Park Service Visitor Center
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ITINERARY
March 22-28
Check-in
Walk to the Sea Camp Dock and check in at the Ranger Station for assigned campsite
info
Bed @ 8:00am
Day 2 3/23
Wake-up @ 9:00
Eat Breakfast
Hike 3.2 miles from Staord Beach down to the Sea Camp beach access
Eat lunch
Swimming
Eat Dinner
Bed @ 8:00pm
Wake-up @ 9:00
Eat Breakfast
Eat Lunch
Eat dinner
Bed @ 9:00
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Wake-up @ 10:00am
Eat Breakfast
Hike 1.5 miles on the Dungeness Trail the travels from the southern dock and Ranger
Station to the Dungeness ruins and eventually to the Southern end of the Beach
Eat lunch
Eat dinner
Bed @ 9:00pm
Day 5 3/26
Wake up @ 8:00am
Eat breakfast
Each Lunch
Eat Dinner
Bed @ 9:00pm
Wake-up @ 9:00 am
Eat breakfast
Pack up campsite
Eat lunch
Eat dinner
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BUDGET
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Description
Quantity
Cost
Rental Van
751
227
12
Ferry Fee
12
20
5 nights/12 ppl
12 ppl
19
42
Sleeping Bags
12
17
Food
84
Total
2,000
$167
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MENU
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Gorp/Trail Mix
Granola Bars
Jerky
Nuts
Dried Fruit
Peanut Butter
Energy Bars, Chews, or Gels
Rice
Beans
Hot dogs
Dried Ice Cream
Smores
Spaghetti
Nacho Bowls
Steak
Mixed Vegetables
Chilli
Dutch Oven Cinnamon Rolls
Eggs in Jail
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WHAT TO Bring/WEAR
Light Hikers Shoes
A wide brimmed hat
Loose-Fitting Shirts/Light Colors
Swimsuits
Water Resistant/Waterproof jacket
Cargo Pants
Cotton Underwear
Cleansing wipes
Toothbrush
Insect Repellent Spray
Bandana
Sunglasses
1-roll of toilet paper
Water Canteen
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WAIVER FORM
WAIVER AND RELEASE OF LIABILITY
I desire to participate in whitewater rafting, hiking, kayaking, camping or canoeing and, in consideration of the
provision of the opportunities to participate in such activities and the provision of services and/or certain
equipment to facilitate participation, I hereby agree as follows on my behalf:
I fully understand and acknowledge that: (a) risks and dangers exist by virtue of the nature of the activities of
rafting, hiking, kayaking, camping or canoeing, in use of rafting, hiking, kayaking, camping or canoeing
equipment and participation in rafting, hiking, kayaking, camping or canoeing activities; (b) such activities, my
use of such equipment and/or participation in such activities may result in illness or injury or death or damage
to personal property and (c) these risks and dangers may be caused by other participants, or by accidents, or
by the forces of nature, or other causes. Risks and dangers may arise from foreseeable or unforeseeable
causes, including, but not limited to, selection of trail or river route, water level, current, under water hazards,
weather conditions, risks of overturning or falling out of a raft, kayak or canoe, and such other risks, hazards
and dangers that are integral to recreational activities that take place in a wilderness, water, outdoor or
recreational environment. I hereby knowingly and voluntarily accept and assume these risks and dangers and
the risks of illness, injury or death or damage to personal property on my behalf.
I have been advised that I must wear an approved personal flotation device at all times while on the water. I
affirm that I will not be under the influence of alcohol or controlled substance, and will not carry, use or
consume these substances before or during the scheduled activities. Any claims or dispute arising from the
activities, my participation in Canoe, Kayak & Paddle Co., LLC (herein "CKAPCO") activities, or use of
equipment shall be subject to resolution in the jurisdiction and venue of the Circuit Court in the County of
Fairfax in the State of Virginia.
I understand that I must be in good physical condition to participate in the activities. I am in good health and am
at or above the minimum age stated in advertising for each activity in which I will participate. I understand that
strenuous physical exertion may be required and I have no known physical disabilities or health problems,
which will present any risk to my participation in the activities. CKAPCO recommends that I receive a physical
examination before participating in the activities. CKAPCO, at its sole and absolute discretion, reserves the
right to request a certificate of good health and fitness from a licensed physician before allowing participation
by me. If I do not provide such a certificate when requested, CKAPCO, at its sole and absolute discretion,
reserves the right to refuse to allow my participation in any classes, training or activity, even if I have already
made payment for participation in accordance with this Agreement; provided, however, CKAPCO has no
responsibility to request a physician's certificate from any student, and shall incur no liability whatsoever as a
result of its failure to do so. I, on my behalf and on behalf of my personal representatives, executors and heirs,
release and agree to indemnify, defend and hold harmless CKAPCO, its members, directors, officers,
employees, instructors and agents ("the Releasees") from any and all injuries, losses or liabilities incident to my
involvement or participation in these programs as provided above to the fullest extent permitted by law (the
"Release and Indemnity"). This Release and Indemnity shall include, but not be limited to, all injuries, losses or
liabilities of whatever nature incurred or sustained to me or property as a result of the negligence of the
Releasees. I permit the use of any photos, slides, films, or sketches of me taken during the days activities for
publicity, advertising, promotion or other commercial purpose. This agreement constitutes the entire agreement
of the parties, is signed under seal, and shall be binding on my heirs, successors, assigns, administrators and
executors.
I HAVE READ THE ABOVE, UNDERSTOOD IT, AND BY SIGNING IT AGREE TO ITS TERMS. I
ACKNOWLEDGE THAT I HAVE BEEN GIVEN THE OPPORTUNITY TO ASK QUESTIONS ABOUT THE
AGREEMENT AND ITS TERMS AND HAVE BEEN AFFORDED THE OPPORTUNITY TO COUNSULT MY
OWN COUNSEL WITH REGARD TO IT, ITS TERMS, ITS SCOPE AND ITS MEANING.
Name (Print) _________________________ Signature ___________________________ (Seal)
Street Address: _____________________________ EMAIL: _______________________
City: ____________________ State: _____ Zip: _________ Phone: __________________
Date: _______________
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I hereby grant permission for my child ____________________ to participate in whitewater rafting, hiking,
kayaking, camping or canoeing, and, in consideration of the provision of the opportunities to participate in such
activities and the provision of services and/or certain equipment to facilitate participation, I hereby agree as
follows on my behalf and on behalf of my child:
I fully understand and acknowledge that: (a) risks and dangers exist by virtue of the nature of the activities of
rafting, hiking, kayaking, camping or canoeing, in my childs use of rafting, hiking, kayaking, camping or
canoeing equipment and my childs participation in rafting, hiking, kayaking, camping or canoeing activities; (b)
such activities, my childs use of such equipment and/or participation in such activities may result in illness or
injury or death or damage to personal property and (c) these risks and dangers may be caused by other
participants, or by accidents, or by the forces of nature or other causes. Risks and dangers may arise from
foreseeable or unforeseeable causes including, but not limited to, selection of trail or river route, water level,
current, under water hazards, weather conditions, risks of overturning or falling out of a raft, kayak or canoe,
and such other risks, hazards and dangers that are integral to recreational activities that take place in a
wilderness, water, outdoor or recreational environment. I hereby knowingly and voluntarily accept and assume
these risks and dangers and the risks of illness, injury or death or damage to personal property on my behalf
and on behalf of my child.
I have been advised that my child must wear an approved personal flotation device at all times while on the
water. I affirm that my child will not be under the influence of alcohol or controlled substance, and will not carry,
use or consume these substances before or during her/his scheduled activities. Any claims or dispute arising
from the activities, my childs participation in Canoe, Kayak & Paddle Co., LLC (herein "CKAPCO") activities
or use of equipment shall be subject to resolution in the jurisdiction and venue of the Circuit Court in the County
of Fairfax in the State of Virginia.
I understand that my child must be in good physical condition to participate in the activities. My child is in good
health and is at or above the minimum age stated in advertising for each activity in which he/she will
participate. I understand that strenuous physical exertion may be required and my child has no known physical
disabilities or health problems, which will present any risk to his/her participation in the activities. CKAPCO
recommends that my child receive a physical examination before participating in the activities. CKAPCO,, at its
sole and absolute discretion, reserves the right to request a certificate of good health and fitness from a
licensed physician before allowing participation by my child. If my child does not provide such a certificate
when requested, CKAPCO, at its sole and absolute discretion, reserves the right to refuse to allow my childs
participation in any classes, training or activity, even if I or my child has already made payment for participation
in accordance with this Agreement; provided, however, CKAPCO has no responsibility to request a physician's
certificate from any child or student, and shall incur no liability whatsoever as a result of its failure to do so. I, on
my behalf, on behalf of my child and my and his personal representatives, executors and heirs, release and
agree to indemnify, defend and hold harmless CKAPCO, its members, directors, officers, employees,
instructors and agents ("the Releasees") from any and all injuries, losses or liabilities incident to my childs
involvement or participation in these programs as provided above to the fullest extent permitted by law (the
"Release and Indemnity"). This Release and Indemnity shall include, but not be limited to, all injuries, losses or
liabilities of whatever nature incurred or sustained to me, my child or property as a result of the negligence of
the Releasees. I permit the use of any photos, slides, films, or sketches of him/her taken during the days
activities for publicity, advertising, promotion or other commercial purpose. This agreement constitutes the
entire agreement of the parties, is signed under seal, and shall be binding on my and his heirs, successors,
assigns, administrators and executors.
I HAVE READ THE ABOVE, UNDERSTOOD IT, AND BY SIGNING IT AGREE TO ITS TERMS. I
ACKNOWLEDGE THAT I HAVE BEEN GIVEN THE OPPORTUNITY TO ASK QUESTIONS ABOUT THE
AGREEMENT AND ITS TERMS AND HAVE BEEN AFFORDED THE OPPORTUNITY TO COUNSULT MY
OWN COUNSEL WITH REGARD TO IT, ITS TERMS, ITS SCOPE AND ITS MEANING.
Group Name (if applicable) ________________________________________________
Parents Name (Print) _________________________
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References
http://www.nps.gov/cuis/index.htm
http://www.ckapco.com/Information/SignupRegister/WaiverForms/tabid/57/Default.aspx
http://www.sunset.com/food-wine/kitchen-assistant/camping-food
http://www.atlantatrails.com/hiking-trails/cumberland-island-hiking-guide/#.VGqknr5H3L8
http://studentreccenter.wvu.edu/outdoor_rec_center/equipment_gear_rentals/camping_gear
http://www.mapquest.com/maps?2a=113+st+marys+st&2c=st
+marys&2s=ga#cffd79d595117e0b15482ab1
https://www.budget.com/budgetWeb/html/en/cars/highoccupancy.html
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