Dicks Lake Backcountry Camp August 11-14, 2025

Welcome!

Thank you for your interest in joining the Dicks Lake Backcountry Camp!

Instructions

In preparation for your upcoming backcountry trail work camp in August, we require that you complete and submit this registration packet.

If you have any questions or concerns, please contact Briegan Aguilar at briegana@tahoerimtrail.org.

Acknowledgment

By submitting this packet, you attest that the information provided on these forms is accurate and that you will notify the TRTA if any information provided changes. I read, understand, and agree with the above statement.

Yes

Contact Information

First Name

Last Name

Address

City

State

Zip Code

Primary Phone

Email

Emergency Contact Information

Name

Relationship

Primary Phone

Alternate Phone Number

Health Information

The Tahoe Rim Trail Association is not a medical facility; our staff and volunteers are not medical professionals. Therefore, the TRTA has no responsibility regarding medical advice, medications, or inoculations that you and your doctor may deem necessary for participating in this trip. If you are concerned about your health, we recommend consulting your physician.

This information is to enable TRTA staff to be aware of any medical conditions before the start of the camp. In the event of serious injury or illness, this form provides emergency medical personnel with a valuable medical history to help them provide medical assistance. Please complete this form honestly and completely. TRTA staff may contact you to discuss whether the trip is appropriate for you. Information on this form will be kept confidential. Please notify the TRTA immediately if any information on this form changes after submission.

Do you have dietary restrictions?

YesNo

Please explain

Do you have allergies?

YesNo

Please explain

Do you need an inhaler, epi-pen, or other medication that must always be on your person?

YesNo

Please explain

Let us know any pertinent medication you are taking. (If none, please write none)

Let us know any other pertinent medical history. (If none, please write none)