OUTDOORS INTENTIONS FORM
New Zealand
Safety is your responsibility so tell someone, it could save your life | www.adventuresmart.org.nz
OUTDOOR USER INSTRUCTIONS
EXPECTED DATE OF RETURN
TIME
OUTDOORS USER(S) may select either of these options to
complete your Outdoors Intentions details via a downloadable form.
Option 2a. Download the form. Save to your system. Print form.
Complete details by hand and give to your TRUSTED CONTACT.
Option 2b. Download the form. Save to your system. Type
directly into the form. Save file. Attach to an email and send to
your TRUSTED CONTACT.
None of the fields on the form are compulsory, but the more
details you provide, the better the search and rescue agencies
will be able to respond should the alert be raised.
By using this form you agree to the terms and conditions.
Whatever method you use, it is recommended that you check
that your TRUSTED CONTACT has received your Outdoors
Intentions prior to leaving on your trip.
You have been nominated as the TRUSTED CONTACT for the
OUTDOORS USER listed below, so you can raise the alarm and
contact the appropriate authorities if for any reason they do not
return by the expected date and time below.
TRUSTED CONTACT INSTRUCTIONS
D D M M Y Y
/ /
:
AM
PM
WHAT ARE YOU DOING AND WHERE ARE YOU GOING?
OUTDOOR USER/LEADER DETAILS
(Overseas visitors please include your passport number and your nationality.)
WHO ARE YOUR GROUP MEMBERS? (Overseas visitors please include your passport number and your nationality.)
D D M M Y Y
/ /
:
AM
PM
Start Date:
Family name:
Name:
Name:
Address/Passport No./Nationality:
Address/Passport No./Nationality:
Phone:
Phone:
Address or Passport
Number & Nationality:
Medical Conditions
& Medication:
Medical Conditions & Medication:
Medical Conditions & Medication:
First name:
Cell Number:
Home Phone:
Intended track/route/huts and alternatives:
Note: Always enter your progress and changes to plan in hut logbooks, even if you don’t stay overnight.
Activity:
Time:
2
1
3
At the ‘expected date and time’ below, immediately try
and contact the ‘OUTDOORS USER’ directly, if you have not
already heard from them.
If unsuccessful try and contact other group members (if
applicable).
If unsuccessful wait 1 hour and then repeat the process of
contacting the OUTDOORS USER and if applicable other group
members. If unsuccessful and you are extremely concerned
or bad weather has set in, go straight to contacting the New
Zealand Police.
If you are still unsuccessful in contacting the OUTDOORS USER
or any members of the party, telephone 111 (or if outside New
Zealand call +64 4 381 2000) ask for the Police and tell them
you wish to report a missing person(s) who is on a trip in the
outdoors and has not returned by the expected date and time.
You will need to provide the Police with the information below.
Remember to tell your Trusted Contact as soon as you have
returned safely, to avoid unnecessary alarm and possible
involvement from New Zealand Police.
For tips, advice and links to help keep you safe throughout
your land, snow, water, boating and air activities in New
Zealand, visit www.adventuresmart.org.nz
WHAT TYPE OF EMERGENCY EQUIPMENT ARE YOU CARRYING?
Wet weather gear and thermal clothing
GPS
First Aid Kit
Extra food
Survival Kit
Emergency Shelter
Personal Locator Beacon
Firearms
(with spare emergency ammunition)
Mountain Radio Call sign:
Satellite phone number:
Other:
HOW ARE YOU TRAVELLING TO AND FROM THE AREA?
WHERE WILL YOU BE GOING AFTER LEAVING THE AREA?
Terms & Conditions
Type of vehicle etc. Please also include name of bus/rental car company, if applicable:
e.g. name/address/telephone of accommodation:
Registration no: Make and model:
Colour: Parked at:
If you are leaving a vehicle in the area for your return, please provide details below:
The Outdoors Intentions form is provided free of charge but without warrant or guarantee. ‘OUTDOORS USER’ refers to the person using the form to complete their Outdoors
Intentions. ‘TRUSTED CONTACT’ refers to the person that the ‘OUTDOORS USER’ gives their Outdoors Intentions form to, whether it be via electronic or hard copy means.
The process relies on the OUTDOORS USER providing correct and comprehensive information. No responsibility is accepted for users providing incorrect information, including
incorrect email addresses. The process relies on the TRUSTED CONTACT receiving the information from the OUTDOORS USER and following the designated process as set
out on the form. It is recommended that the OUTDOORS USER checks that their TRUSTED CONTACT has received the Outdoors Intentions (by whatever means chosen) prior
to leaving on a trip. It is the responsibility of the OUTDOORS USER to ensure that the TRUSTED CONTACT they select is willing and able to respond and follow the process
contained within the information they receive. No responsibility is accepted for the TRUSTED CONTACT not receiving the information or not following the correct process.
The timeliness and accuracy of a search and rescue response depends somewhat on the quality, quantity and accuracy of the information that is provided by the OUTDOORS
USER to the TRUSTED CONTACT and that the TRUSTED CONTACT follows the process correctly. No guarantee is given regarding search and rescue response. Internet and
telecommunications providers do not guarantee uptime of their systems or delivery of electronic messages. Postal services do not guarantee timeframes of delivery of physical
letters, parcels or packages. By using the Outdoors Intentions form you accept that you have read, understood and agree to the terms and conditions above.
ADDITIONAL GROUP MEMBERS? (Overseas visitors please include your passport number and your nationality.)
Name:
Name:
Name:
Address/Passport No./Nationality:
Address/Passport No./Nationality:
Address/Passport No./Nationality:
Phone:
Phone:
Phone:
Medical Conditions & Medication:
Medical Conditions & Medication:
Medical Conditions & Medication:
4
5
6
* If you need to add more group members, please download the additional group members form.
Remember to tell your Trusted Contact as soon as you have returned safely.
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