Trip Plan Worksheet

Printable Worksheet
Back to Requirement 1c

Trip Plan

Wilderness Survival Merit Badge — Requirement 1c

Fill this out before every trip and leave a copy with a responsible adult. Tell them when to contact rescuers if you don't return on time.

Trip Information

Trip Name
Dates

Participants

NameAgeEmergency ContactMedical Conditions / Allergies
    
    
    
    
    
    

Route

Starting Point / Trailhead
Destination
Total Distance (miles)
Estimated Hiking Time (hours)
Route Description

Timeline

Departure Time
Expected Return Time
Checkpoint / LocationEstimated Arrival Time
  
  
  
  

Vehicle & Parking

Vehicle Description
License Plate
Parking Location

Communication

Contact Person (left behind)
Contact Phone
Cell Service at Destination?
Communication Devices Carried
If not back by _______, call: _______

Weather & Bailout Plan

Weather Forecast
Plan if Weather Deteriorates
Bailout Point(s)

Gear Checklist

Check each item as you pack it. These are the Scout Essentials plus trip-specific gear.

ItemItemItem
PocketknifeFirst Aid KitExtra Clothing
Rain GearWater BottleFlashlight / Headlamp
Trail FoodMatches / Fire StarterSun Protection
Map & CompassShelter / TarpWater Treatment
WhistleSignal MirrorRepair Kit

Special Notes

Hazards, special terrain, permits needed, or anything else rescuers should know.

Counselor Review

Merit Badge Counselor Signature
Date