ALLSTATE TICKETING
BUREAU OF RECLAMATION
P.O. BOX 60400
BOULDER CITY, NV. 89006-0400
(866) 291-TOUR
FAX: (702) 798-3651

For Paddle Craft Office Use Only
Amount Paid:
Launch Completed by:
Date:

RIVER TRIP APPLICATION
PLEASE FILL IN ALL SPACES AND PLEASE PRINT

I hereby make application to the U.S. Bureau of Reclamation for permission to take a river trip down the Colorado River utilizing the Hoover Dam launch site.

NAME OF GROUP LEADER(S) TELEPHONE NO.
ADDRESS:

I have read the enclosed packet regarding Reclamation Launching Area Requirements (RLAR) and instructions and certify my group agrees to the RLAR.

SIGNATURE:
LAUNCH TIME: LAUNCH DATE:
NUMBER OF CRAFT:
NUMBER IN PARTY: RENTED FROM:
DESCRIPTION/LICENSE NUMBER OF VEHICLE TO BE LEFT AT HOOVER DAM

AS A GROUP LEADER, I HAVE HAD THE FOLLOWING EXPERIENCE:


IN CASE OF EMERGENCY PLEASE NOTIFY: NAME
TELEPHONE

PLEASE COMPLETE ALL APPLICABLE INFORMATION. Failure to do so will delay approval of your trip.
Return Application and Fee Payments to: Allstate Ticketing
Bureau of RecLamation
P.O. BOX 60400
Boulder City, NV 89006-0400
Credit Card Number: Amount:
Expiration Date: Card Holders Name:
SIGNATURE:


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Webmaster: George W. Gorum
Last updated: January 2001