KITA-ALPS GIFU MOUNTAIN RESCUE

Climbing/Hiking club・Leader

Name of alpine/mountaineering/hiking club/partyrequired

※If you do not belong to a climbing/hiking club, please enter “None”.
※This Mountain Climbing/Hiking Notification is for the Gifu side of the Northern Alps.

Leader Namerequired

Leader Age

Leader Occupation

Leader Gender: MaleFemale

Leader Address：Prefecture

Leader Address：Addressrequired

Leader Phone

Leader Mobile phone

Leader Email addressrequired

※Mobile phone email addresses cannot be registered.

※When the notification is completed, a confirmation email will be automatically sent as a reply to this address.

Emergency contact address

Emergency contact phone number

Climbing/Hiking Route

Climbing/Hiking Route：Mountain Entry Point (Start Point)required

Climbing/Hiking Route：Waypoint(s)required

Climbing/Hiking Route：Mountain Exit Point (Finish Point)required

Date of Entry (Start)required

Date of Exit (Finish)required

Possibility of extra days in the mountain?: YesNo

Optional extra day(s): Ultimate exit date

Companion１

Companion１：Name

Companion１：Age

Companion１：Occupation

Companion１：Gender

Companion１：Prefecture

Companion１：Address

Companion１：Phone

Companion１：Mobile phone

Companion２

Companion２：Name

Companion２：Age

Companion２：Occupation

Companion２：Gender

Companion２：Prefecture

Companion２：Address

Companion２：Phone

Companion２：Mobile phone

Companion３

Companion３：Name

Companion３：Age

Companion３：Occupation

Companion３：Gender

Companion３：Prefecture

Companion３：Address

Companion３：Phone

Companion３：Mobile phone

Companion４

Companion４：Name

Companion４：Age

Companion４：Occupation

Companion４：Gender

Companion４：Prefecture

Companion４：Address

Companion４：Phone

Companion４：Mobile phone

Companion５

Companion５：Name

Companion５：Age

Companion５：Occupation

Companion５：Gender

Companion５：Prefecture

Companion５：Address

Companion５：Phone

Companion５：Mobile phone

If the party contains seven or more accompanying people (including the leader), please fill in names, addresses, ages, genders, occupations, and telephone numbers below.

Companion：Other accompanying persons

Others

Amount of Foodrequired: days' worth

Food Rations: NoYes

Amount of rations: days' worth

Drinking water: NoYes

Means of communication: NoYes

Please fill out means of communication if you check Yes.

Transceiver: Hz

Mobile phone

Mountain insurance: NoYes

Please fill out means of communication if you check Yes.

Insurance company name

Accommodation: Staying in a hut/lodgeCampingDay trip

Equipment：Crampon: NoneEquipped

Equipment：Ice axe: NoneEquipped

Equipment：Tarp/tent: NoneEquipped

Equipment：Other

If you have any other equipment, please list below.

Climbing/Hiking Schedule

Please provide as detailed a schedule as possible.

＜Example＞

August 1 Shinhotaka Onsen (depart) Kagamidaira Lodge (lunch / rest) Sugoroku Lodge (overnight)
August 2 Sugoroku Lodge (depart) Yarigatake Lodge (overnight)
August 3 Yarigatake Lodge (depart) Yaridaira Lodge (lunch / break) Shinhodaka Onsen (arrive / return home)

Climbing/Hiking Schedulerequired

Agreeing to the purpose of use of personal information

※The information collected by Kita-Alps Gifu Mountain Rescue is necessary for implementing distress rescue activities, and we will not collect more than necessary.
We also use it for the following purposes.

To manage climbers' /hikers' entries to and exits from mountains
To facilitate rescues

Agree

Download the Mountain Climbing / Hiking Notification form

Sending Mountain Climbing / Hiking Notifications by E-mail

Online Mountain Climbing / Hiking Notification

Agreeing to the purpose of use of personal information