Recreational Trip Application Form

Reference: CATO 14-06, Annex A

Date: dd mmm yy
This is a request to participate in a recreational trip. The details are as follows:

Area Regional Provincial International

(Within Det Area) (Includes NCR) (Outside Ontario) (Includes USA)

(FOR ALL TRIPS OUTSIDE OF CANADA/USA, PLEASE CONTACT THE CF NATIONAL COUNTER-INTELLIGENCE
UNIT. ALL CF MEMBERS PARTICIPATING ON THE TRIP MUST CONTACT CFNCIU FOR BRIEFING)

1. Corps/Sqn # / Name / Address: Unit # and Name

Street Address
City, ON Phone: 999-999-9999, Ext
N0N 0N0 Fax: 999-999-9999

2. Destination:

Joint Trip Corps/Sqn #

Type of Trip: Recreational Educational Cultural Training

(Select all that applies)
3. Dates:

a. Destination: Departure: dd mmm yy, hhmmhrs Arrival: dd mmm yy, hhmmhrs

b. Return to LHQ: Departure: dd mmm yy, hhmmhrs Arrival: dd mmm yy, hhmmhrs

4. Accommodations: (ADDITIONAL ACCOMMODATIONS TO BE PROVIDED SEPARATELY)

Primary Accommodation (destination) Secondary Accommodation (enroute to/from)
Company/Provider Company/Provider
Address Address
Location City/Prov/State Location City/Prov/State
Dates d-d mmm yy Dates d-d mmm yy
Type Insert Type Insert
Contact Person Contact Person
Phone 999-999-9999 Ext Phone 999-999-9999 Ext
Email Email

5. Transportation: (ADDITIONAL TRANSPORTATION TO BE PROVIDED SEPARATELY)

Type Insert Type Insert
Company/Driver Company/ Driver
# of Vehicles # of Vehicles
Flight # Flight #
Address Address
City/Prov City/Prov
Postal Code Postal Code
Phone 999-999-9999 Ext Phone 999-999-9999 Ext

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6. Border Crossing (if applicable) – Date & Time:
a. Leaving Canada: dd mmm yy, hhmmhrs
Departure Point:
b. Arriving in Canada: dd mmm yy, hhmmhrs
Arrival Point:
7. Command & Control
a. OIC / Contact Number / Email: ,
999-999-9999, Ext , xxx@xxx.com
b. Corps/Sqn Contact Name & Phone (LHQ – Not on trip):
, 999-999-9999, Ext
c. Emergency Contact Name & Phone (On Trip):
, 999-999-9999, Ext
8. Personnel: (CORPS/SQN STAFF AND CADETS ONLY)

CIC (M) CIC (F) CI/CV (M) CI/CV (F) Cadet (M) Cadet (F)
0 0 0 0
I have confirmed that all Staff personnel attending have a current ERC (CF Members) or
PRC/VSS (CIs/Civilian Volunteers) and all other personnel have the necessary identification in
preparation for an International Border Crossing, IAW CATO 14-06 and the Canada Border
Services Agency.
No
a. Activity Supervising Escort Officer: (COMPLETED CATO 14-06 WAIVER AND WORKSHEET)

b. List of invited guests/VIPs/SSC, if applicable:

1.
2.
3.
c. Other participating Pers: (LEAGUE / DET / RCSU / SSC / VOL / ETC)
1.
2.
3.
9. Equipment: (DND / LEAGUE OWNED EQUIPMENT ONLY)

Rifles (DP) Rifles (AR) Flags Swords/Cutlasses Electronic Other

Equipment
0 0 0 0 0 0
Other Equipment: (PROVIDE DETAILS)

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10. Rations: (IF RATION PLAN IS LONGER, PLEASE PROVIDE PLAN SEPARATELY)

Date Time Company/Provider Location (City)

dd mmm Breakfast
Lunch
Dinner
dd mmm Breakfast
Lunch
Dinner
dd mmm Breakfast
Lunch
Dinner
dd mmm Breakfast
Lunch
Dinner
dd mmm Breakfast
Lunch
Dinner
dd mmm Breakfast
Lunch
Dinner
dd mmm Breakfast
Lunch
Dinner
dd mmm Breakfast
Lunch
Dinner
dd mmm Breakfast
Lunch
Dinner
11. Request to wear of uniforms during the following activities:
DEU (1A/3) / Cadet (C1/C2) Field Training Uniform (CADPAT/OG-107)
(FOR REQUESTS TO WEAR FTU, CORPS/SQN MUST PROVIDE WRITTEN SUBSTANTIATION FOR REQUEST)

TRAVEL TO AND/OR FROM DESTINATION - No

Date Activity Location (City)
dd mmm
dd mmm
dd mmm
dd mmm
dd mmm
dd mmm
dd mmm
dd mmm
dd mmm
dd mmm
dd mmm
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12. Administration:

a. Branch / Support Committee / SSC Support Letter (attached): No

b. Parental Information Letter (attached): No

c. Consent Form (attached): No

d. Funding Sources:

Amount
Branch / Support Committee / SSC
Support/Contribution
Cadet Payment/Contribution (Total)
Staff Payment/Contribution (Total)
Contingency Fund (Backup)
Other Contributing Sources (Total)
Total

e. Issue and payment of insurance: (IF APPLICABLE)

Select

f. Issue and payment of passports, visas, etc.: (IF APPLICABLE)

Select

g. Insurance:

1) Liability: CADET LEAGUE INSURANCE, IAW CATO 12-23 AND CF POLICY

2) Emergency Medical/Dental:

a) Staff:

1) CIC Officers (Class A): Select

2) CIC Officers (Vol): Select

3) CI/CV: Select

b) Cadets:
1) PROVINCIAL HEALTH PLAN (OHIP) – WITHIN CANADA; OR

2) CATO 16-05 - BLUE CROSS MEDICAL COVERAGE – OUT OF COUNTRY

3) Transportation: Select

4) Trip Cancellation: Select

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13. Additional Details for Insurance Coverage: (IF APPLICABLE)

14. Method used to select cadets to participate: (PROVIDE DETAILS):

15. Method used to select Staff to participate: (PROVIDE DETAILS)

16. Detailed Emergency Response Plan:

(PROVIDE AS MUCH INFORMATION AS POSSIBLE TO INCLUDE, BUT NOT LIMITED TO, LOCATION OF
NEAREST MEDICAL FACILITY, WHO ARE THE FIRST AID PERS, AVAILABLE FIRST AID KITS,
AVAILABILITY OF SAFETY VEHICLE, ETC)

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17. Detailed Itinerary: (IF TRIP ITINERARY IS LONGER, PLEASE PROVIDE SEPARATE ITINERARY)

Date Time Activity Location

dd mmm 0000
0000
0000
0000
0000
0000
0000
0000
0000
0000
0000
0000
0000
0000
dd mmm 0000
0000
0000
0000
0000
0000
0000
0000
0000
0000
0000
0000
0000
0000
dd mmm 0000
0000
0000
0000
0000
0000
0000
0000
0000
0000
0000
0000
0000
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dd mmm 0000
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dd mmm 0000
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dd mmm 0000
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dd mmm 0000
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dd mmm 0000
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dd mmm 0000
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OCdt OCdt
OIC Trip CO
Phone: 999-999-9999 Phone: 999-999-9999
Email: xxx@xxx.com Email: xxx@xxx.com

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