Wilderness Check-In Form – Sublette County Sheriff’s Office

Name*

First Last

Date*

Number in Party*

Date of Entry*

Date and time expected out:*

Cell Phone Numbers of All People in Party*

Add additional phone numbers by clicking on ⊕

Number of Males in the Party*

Please enter a number from 0 to 99.

Their Age(s)*

Number of Females in the Party*

Please enter a number from 0 to 99.

Their Age(s)*

Explain Any Medical/Physical Problems

Do You Have Maps of the Area?*

Yes
No

Do You Know the Area?*

Yes
No

Are You Equipped for a Winter Storm of Snow & Cold?*

Yes
No

Are You Taking Any Animals Along?*

Yes
No

If Yes, What Type of Animal, Color, and Description*

Number of Tents*

Please enter a number from 0 to 99.

Color & Description of Tents*

What is Your Experience Level in the Wilderness?*

Vehicle Information

Where the Vehicle Will Be Parked*

License Plate Number*

License State*

Vehicle Color*

Vehicle Make and Model*

Vehicle Year*

Other Information

Place of Entry*

Place of Exit*

Planned Route of Travel*

Camp Info*

Location of Camp	Date

Add additional camps by clicking on ⊕

Contact Person(s) in Case of Emergency

Addt'l Emergency Contacts

Add additional people by clicking on ⊕

Name	Cell #	Work #	Home #

NOTE: Be sure to sign in and out on the Forest Service Registry at the Trailhead when you enter and leave the area. You can call into the Sheriffs Office to make notification that your trip has been completed, or stop by and notify the on duty dispatcher that you are out. The Sheriffs Office will check to see if your vehicle is gone if you haven't made notification that you are out. If the vehicle is still there, the sheriff will contact the person you used as a contact person to see if a search of the area is called for. Any additional information can be added below: