Form Test – Nature Manitoba

Leader Name(Required)

Email/Phone(Required)

Trip Date(s)(Required)

Total number of participants(Required)

Total Number of NM participants(Required)

Number of participants with active Nature Manitoba membership

Trip Skill Level(Required)

Trip Location(Required)

Type of Activity(Required)

Other Activity Type

Comments

Were there any safety or risk related issues on your trip that could be mitigated?

Upload scans or pictures of the signed Informed Consent & Liability Release Agreement. If there is a problem uploading the scan or image, please email the file to info@naturemanitoba.ca

Signed Informed Consent & Liability Release Agreement(Required)

Drop files here or

Accepted file types: gif, jpg, jpeg, png, pdf, Max. file size: 6 MB.