ANGELES SIERRA CLUB ICO / FOR LEADERS ONLY
Trip Followup Report Form

For Leaders only: Use this online form to report your hike (file within two weeks of hike completion: required for insurance/recordkeeping purposes)
Your trip is not covered by the Sierra Club's insurance until this form is returned!

INSTRUCTIONS:
Fill out this form online and either
a) click SEND THIS INFO button below (your information will be emailed to C. Ronan, ICO Treasurer)
  or
b) print this form and mail to C. Ronan, ICO Treasurer

   
Your Name:

Date(s) of event:
Type of Event (if other, please explain):
Site of Event:
School/Agency:
Leader:
Co-Leader:
Other Sierra Club volunteers
(full names):
Total ICO volunteer effort (multiply Sierra Club volunteers times days or hours):
Number of youth participants:
Number of agency personnel:

Number of adult participants (excluding Sierra Club leaders and volunteers):
Distance hiked:
Fee:
Transportation to event:
Expenses:
Actual cash expenditures of ICO funds:
Expenditure for:
Donations
(note amount and donor):
In kind donations
(note items, value, and donor):

Comments: