Participant trip report
Trip reports are needed to fulfill our insurance requirements, for fundraising and general publicity, and to track volunteer involvement.

Please fill out the following information and press the SUBMIT button. Please fill out all fields (that you have information for) before submitting. If you make a mistake, submit it again. The second report will be assumed to be the correct one, and the first will be ignored. If you want a copy, print out the page before submitting.

For any questions that the form does not allow for, please add the information in the comment section.

Sign in to Google to save your progress. Learn more
Person filling out report (your name) *
Trip start date *
Trip start time *
Trip end date *
Trip end time *
Number of days on the river *
Number of river days may be less than the length of the trip if you were not on the river every day.
Group name *
Name of the agency or participant group you took.
Group address, phone and email (if known)
Group contact *
The name of the agency liaison or leader you worked with.  They need not have been on the trip.
Fit to target population *
Is this group comprised of "those who do not otherwise have the opportunity"?
Poor
Excellent
Group camaraderie *
Did the group get along with each other well?
Poor
Excellent
Behavior and cooperation *
How well did the group follow rules and guidance?
Poor
Excellent
Staff performance *
How well did the group's agency leaders perform?
Poor
Excellent
Food *
Poor
Excellent
ICO Trip Leader *
ICO Assistant Trip Leader
Trip medic *
Trip rescue *
Assigned WRT or SRT while on the river
Guide 1 name *
This form allows for 10 guides; if you had more than 10 guides, please list them in the "comments" section.
 Guide 1 days *
For a trip of more than three days, make a note in the comments.
Number of days Guide 1
Guide 2 name
 Guide 2 days
Number of days Guide 2
Clear selection
Guide 3
 Guide 3 days
Number of days Guide 3
Clear selection
Guide 4 name
 Guide 4 days
Number of days Guide 4
Clear selection
Guide 5 name
 Guide 5 days
Number of days Guide 5
Clear selection
Guide 6 name
 Guide 6 days
Number of days Guide 6
Clear selection
Guide 7 name
 Guide 7 days
Number of days Guide 7
Clear selection
Guide 8 name
 Guide 8 days
Number of days Guide 8
Clear selection
Guide 9 name
 Guide 9 days
Number of days Guide 9
Clear selection
Guide 10 name
 Guide 10 days
Number of days Guide 10
Clear selection
Number of ICOers 18 and over *
This and the following three questions are for insurance reporting.
Number of ICOers under 18 *
Number of participants 18 and over *
Number of participants under 18 *
Number of African-American guides
Do the best you can in "estimating" ethnicity statistics.  These statistics are sometimes useful in reporting to funding agencies.
Number of African-American participants
Number of Asian and Asian-American guides
Number of Asian and Asian-American participants
Number of American Indian guides
Number of American Indian participants
Number of Latino guides
Number of Latino participants
Number of white/Euro-American guides
Number of white/Euro-American participants
Other ethnicity -- guides
enter number and "type"
Other ethnicity -- participants
enter number and "type"
Number of Deaf guides
"Deaf" should overlap above statistics
Number of Deaf participants
River Day 1 stretch *
Enter the river section you ran -- e.g., "Chili Bar" or "Red Bud to Briceburg"
River Day 1 number of boats *
River Day 1 flow *
Flows are available on the icorafting home page.
I consider this flow (Day1) to be: *
High
Low
River Day 1 hazards and weather
Enter special hazards like strainers
River Day 2 stretch
Enter the river section you ran -- e.g., "Chili bar" or "Red Bud to Briceburg"
River Day 2 number of boats
River Day 2 flow
Flows are available on the icorafting home page.
I consider this flow (Day 2) to be:
High
Low
Clear selection
River Day 2 hazards and weather
Enter special hazards like strainers
River Day 3 stretch
Enter the river section you ran -- e.g., "Chili bar" or "Red Bud to Briceburg"
River Day 3 number of boats
River Day 3 flow
Flows are available on the icorafting home page.
I consider this flow (Day 3) to be:
High
Low
Clear selection
River Day 3 hazards and weather
Enter special hazards like strainers
Comments
Use this for shorter comments.  Write a separate comment and post it if you want to make longer comments (guideline: 200 words max in this box).  Please describe all safety-related incidents and stories you would share at a river meeting.  Include on- and off-river incidents -- accidents, near misses, dangerous conditions, etc.  Be sure to fill out the Sierra Club accident report form if appropriate.
Form review confirmation *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Inspiring Connections Outdoors - SF Bay Rafting. Report Abuse
Google Forms