Canada Border Services/Immigration
2 Sumas Way
Abbotsford, B.C. V2S 8B7
Telephone: (604) 504-4690
FAX: (604) 850-5896

APPLICATION FOR ENTRY TO CANADA VIA THE PACIFIC CREST TRAIL

**PLEASE DO NOT COMPLETE THIS FORM UNTIL THREE MONTHS BEFORE DEPARTURE. ALL APPLICATIONS MUST BE RECEIVED BEFORE THE 30TH OF JUNE.** Complete by typewriter or print in block letters and return to the Canada Border Services, 2 Sumas Way, Abbotsford, B.C. Each person entering via the Pacific Crest Trail must complete his/her own application. If under 18 years of age, and not accompanied by a parent or legal guardian, a notarized letter of parental consent is to accompany this application. Complete Part ”B” upon arrival in Canada.

PART ”A” 
NAME (LAST OR FAMILY NAME)       FIRST NAME         MIDDLE NAME SEX
( )M ( )F

BIRTHDATE (DAY-MONTH-YEAR)

PLACE OF BIRTH

 COUNTRY OF BIRTH
 
APPEARANCE
 
 EYE COLOUR HAIR COLOUR HEIGHT WEIGHT
CITIZEN OF: PASSPORT OR SOCIAL SECURITY CARD #:
HOME ADDRESS IN FULL

 

CLOSEST RELATIVE (NAME, ADDRESS, RELATIONSHIP)

 

HAVE YOU EVER:

                                     YES   NO
(A) BEEN CONVICTED OF A CRIME        (  ) (  )
(B) BEEN REFUSED ADMISSION TO CANADA (  ) (  )
(C) BEEN DEPORTED FROM CANADA        (  ) (  )

*NOTE* IF THE ANSWER TO ANY OF THE FOREGOING IS "YES" GIVE DETAILS.

 

 

 

 ITINERARY IN CANADA
HOW MUCH MONEY WILL YOU HAVE IN YOUR POSSESSION? $
APPROXIMATE DATE OF ENTRY INTO CANADA
 
 APPROXIMATE DATE OF DEPARTURE FROM CANADA

PART ”B”

PURPOSE OF YOUR TRIP TO CANADA *NOTE~ FIREARMS AND WEAPONS ARE PROHIBITED

 

LIST ANY GOODS YOU PLAN TO LEAVE IN CANADA

 

HOW MUCH ALCOHOL ARE YOU CARRYING WITH YOU? HOW MUCH TOBACCO/CIGARETTES/CIGARS?


PART ”C”

This application, if signed and stamped by an Immigration Officer, is approval for entry via the Pacific Crest Trail only. It is to be presented to US Customs or Canada Border Services offices at the port from which you leave Canada. I CERTIFY THAT NY ANSWERS TO THESE QUESTIONS ARE TRUE AND CORRECT TO THE BEST OP NY KNOWLEDGE.

 

Signature

DATE AND PORT STAMP

 

 

 

 

 

 

 

 

Signature of Immigration Officer

 R.C.M.P. STAMP