Author: Allan & Irene
Last saved by: MaryJayne Jordan
Company: Hewlett-Packard Company

BHVA WALK REQUEST
Check:  YR _______ SEASONAL _______ TRADITIONAL _______

Please fill out all areas completely and accurately and e-mail to Allan Ward at arward44@gmail.com or mail to PO Box 1355, Sundance, WY  82729

DATE:

NAME OF WALK:					CITY & STATE:

NAME OF START POINT:

START  BETWEEN  ___________ AND ___________ .  FINISH BY __________

DISTANCE _______________ TRAIL RATING _______________       				
AWARD: _______________ FEES: _______________ NUMBER OF STAMPS ______

DIRECTIONS TO START POINT: (use back of sheet if needed)

TRAIL DESCRIPTION: (use back of sheet if needed)

EVENT INFORMATION OR SPECIAL PROGRAMS: (use back of sheet if needed) 

WATER? ______   FOOD? _______   RESTROOMS? _______

WHEELCHAIR ACCESSIBLE? _______  STROLLER ACCESSIBLE? _______

ARE PETS ALLOWED?  __________________________________________________
………………………………………………………………………………………………
POINT OF CONTACT:  NAME
			     ADDRESS
			     PHONE
			     E-MAIL

Walk will not be sanctioned without the following information for BHVA use only:
*WHO IS YOUR CO-POC WHO WILL BE HELPING TO MARK & CLEAN THE TRAIL AND WHO CAN TAKE OVER IN CASE OF EMERGENCY?

NAME:                                                                     PHONE #