Bridger Wilderness
Organized Group
Permit Application
Pinedale Ranger District
P.O. Box 220
Pinedale, WY 82941
(307) 367-4326
Applicant Information
Mailing Address:
Name:
Daytime telephone:
Group Information
Organization Name:
Names of leaders (if different from applicant):
(Scout groups: indicate troop name and number)
Total number of persons in group:
MAXIMUM 15
Total number and kind of livestock:
MAXIMUM 25
Itinerary
Our group will enter the Bridger Wilderness at______________________________________________ trailhead on _____________(date)
You must indicate a 1
st
choice and 2
nd
choice campsite location for each night of your visit. Your 1
st
and 2
nd
choice locations must
be at least 1 mile apart.
Date
1
st
Choice Campsite Location
2
nd
Choice Campsite Location
Our group will exit the Bridger Wilderness at __________________________________________ trailhead on__________________(date)
Financial Information
5. Will the leaders of your group participate in actual
expenses?
1. Amount of fees paid by members of your group to participate
in this trip: $______________________
6. Are you going to hire an outfitter or guide to provide any
service for your trip?
2. How will these fees be used?
7. If yes, which outfitter or guide? (Name and address)
3. How will any excess money collected (over actual expense)
be used?
4. Are the leader(s) or any member of your group being paid to
provide a service for your trip?
8. Is educational credit from a college or university being
awarded for participating in this trip?
1. Describe what techniques will be utilized during your backcountry visit to minimize impacts to wilderness
resources.
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________.
2. Indicate the backcountry experience and qualifications of each leader.
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________.
3. Describe your groups emergency and evacuation plan and indicate First Aid qualifications of each leader.
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________.
4. Describe what methods and techniques will be used while camping and traveling in bear country.
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________.
5. Describe any educational objectives for your backcountry experience.
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________.
All applicants:
You must attach to this application any brochures, pamphlets, price lists or advertising you have received or sent out
regarding this trip.
If you are leading a Boy Scout group:
You must submit a copy of your tour permit with your application
I certify that all information I provided on this form is true and correct.
Signature________________________________________ Date_______________