Professional Documents
Culture Documents
Reset Form
Print Form
Save Form
Trip Planning
Please see instructions page for detailed instructions and additional information before completing this
form. In case your first choice is full, list alternative dates and/or trailheads, in order of preference. To
clarify trailhead please list an intended first nights camp location in wilderness. For trailheads and trip
planning information please visit http://www.nps.gov/yose/planyourvisit/backpacking.htm
1st
Choice
2nd
Choice
3rd
Choice
Entry Date
Entry Trailhead
Exit Date
Exit Trailhead
Entry Date
Entry Trailhead
Exit Date
Exit Trailhead
Entry Date
Entry Trailhead
Exit Date
Exit Trailhead
Number of People
Number of Stock
Animals & Type
first
No
Yes, via Donohue Pass. I require
Donohue exit permits (If no
Donohue exit quota space is
available your request will be
denied).
Yes, via__________________ Pass
Please type name or if unable, please write legibly. Applications with illegible
information may have a delayed response.
middle
last
City
State
Address
Country
Zip
Phone (
Email
Please check method of payment:
Fees/Payment
Credit Card
For Official Use Only
Permit ID Number
Number of People
Transaction Fee
Total Fee Amount
Submit Application
x $5.00
+ $5.00
+ $5.00
Money Order
Check
Credit Card #
Expiration Date:
month
year
CVV Code #
Name on Card
Signature
Fax To:
(Please, no 209.372.0739
cover letters)
Last revised - 02-02-2015