• Yurihonjo Police Station
  • 2020.01.22
  • Content number181
Mountain climbing plan document
Heisei Year Month Day
You

Group name



Representative contact


Submitter name Same as left contact
Mountainous area Local contact
Entrant
mission Full name Date of birth (age) sex Current address Home phone / mobile phone emergency contact
leader
.
( age)



Sub Dadder

.
( age)





.
( age)





.
( age)





.
( age)



Scheduled action

time



time



time


Escape route, emergency action, etc.




Joint equipment, personal equipment, etc.



Remarks



* Personal information related to mountain climbing plans will be used for rescue and search activities in the event of a mountain accident.
(Auxiliary paper)
Entrant
mission Full name Date of birth (age) sex Current address Home phone / mobile phone emergency contact


.
( age)





.
( age)





.
( age)





.
( age)





.
( age)





.
( age)





.
( age)





.
( age)





.
( age)





.
( age)




Remarks










~ Request from Yurihonjo Police Station ~

Yurihonjo Police Station 〒 015-0817
Location 27 Nakamachi, Yurihonjo, Akita Prefecture Phone (FAX) 0184-23-4111

* Please submit a mountain climbing plan by bringing, mailing or faxing.
(In some cases, you can also call the contents of the climbing plan.)

Contact us about this page

Yurihonjo Police Station