Trip leaders are required to submit this form after each Nature Manitoba trip. If you cannot enter this form online please download our pdf version and mail it to our office. Leader name * email/phone * Trip date(s) * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20172018201920202021 Total number of participants * Total number of NM participants * Number of participants with active Nature Manitoba membership Trip skill level * Novice Intermediate Advanced Trip location * Type of activity * Day hike Day canoe Day ski Day cycle Day snowshoe Birding Camping hike Camping canoe Camping ski Camping cycle Camping snowshoe Fall supper hike Other* *if activity is "other" please describe Comments Leave this field blank CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.