STH Multiple Use Activity Reporting Form

Multiple Use Activity Reporting Form (North District)

Trip Leader Date

Phone Date Of Activity

Project or Activity (check one or more)	Recreation	Conservation	Other
Project or Activity (check one or more)	Competition	Adopt A Trail	Work Project

Location (check one)    BLM    Forest Service    SRVA    Other

Name (forest, district, trail, etc.)

Number of People Involved   Number of Days In The Area   Number of Vehicles

Number of Miles Traveled Off-Highway (# of vehicles x trail miles)

Are We Submitting This Toward An Award? (check one)   yes    no

Your Name    Your E-mail Address

Additional Information:

Thank you for taking the time to fill out the Land Use form.
The data of this form will be used to help keep our trails open.