If we do not report in by_________AM/PM on_________(date),
call:________________________________(Emergency/Search Agency)
at:______________________(Phone).
Please report us as overdue/missing and provide them with the following information:
| KAYAKERS |
| Names |   |   |   |
| Age/Gender |   |   |   |
| Phone |   |   |   |
| Kayak Colors |   |   |   |
| PFD Colors |   |   |   |
| Clothes Colors |   |   |   |
| Skill Level |   |   |   |
| Medical Info |   |   |   |
| SIGNALING DEVICES | COMMUNICATIONS |
|   | Handheld Flares |   | VHF Radio - Call Sign: |
|   | Aerial Flares |   | Cell Phone - Number: |
|   | Smoke |   | Hours of daily monitoring |
|   | Strobe |   |
|   | Flashlights | EQUIPMENT |
|   | Chem Light Sticks |   | Tent(s) Colors |
|   | Camera Flash |   | First Aid Kit |
|   | Signal Mirror |   | Fire Starting Material |
|   | Markers | Days water supply: |
|   | EPIRB | Days Food Supply: |
|   |   |
Launch Site:___________________________Final Landing Site:______________________________
Launch Date:____________Time:_____________Landing Date:___________________Time:____________
Vehicle:________________________________________________________________
(year/make/model/color)
License number:_________________________________
| Proposed route, campsites, and alternatives |