Incident Report

Please fill out 100% of this form and if you are not a Branch Ambassador contact yours regarding the incident.

Incident Report

For any notable incident which resulted in injury, a call to local authorities, or is in some other way remarkable.

Hike Date*
Host Name*
Host Email*
Host Phone Number
Hike Location
Describe situation
What happened? How was it dealt with? Follow up required?
Names of involved parties*
Email address(es) for above parties*
If multiple, please separate with commas
Emergency Responders Notified?
- yes
- no
It yes, provide contact info for medical or police:
Any additional notes or information:

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