Pacific Crest Trail Long Distance Permit Request

I. - General Information

Name:
Address:
City: State:   Zip:
Country: Phone #:
Starting Point: Date:  
Ending Point: Approx. Date: 
# of People in Group: Email:
Method of Travel:    Foot Equestrian
   Number Pack & Saddle Stock:
   Will you be under 18 years of age at the start of your trip?

II. - Mt. Whitney Zone Permit


You can ignore this part if you're not entering the Whitney Zone. If one or more people in your group need this permit, the "# of people in group" in part I must equal the "# of people" in parts II & IV.

Do you plan to access Whitney Portal: Yes No

Number in Party Approximate climbing date:

III. - Pacific Crest Trail Association Membership (optional)


The memories last a lifetime and so should the trail. Your membership supports countless volunteers, programs, meetings and protection projects. Please join. Membership benefits also include magazine subscriptions to the PCT Communicator and Backpacker, a sticker, a map brochure, invitations to join volunteer projects and discounts at the PCTA store. The Backpacker subscription is for US residents only. International members, please add $25 for shipping of the PCT Communicator.

IV. - Payment


If you do not plan to enter the Mt Whitney zone or become a PCTA member, skip this section.


Optional PCTA Membership ($35 suggested or $25 introductory) $
Mt. Whitney Zone Permit- # of People: X $15.00 each = $
Total: (PCTA Membership + Whitney Zone) $
Check: Make checks payable to the Pacific Crest Trail Association
Mastercard or Visa: Card # - - -
Expiration:
I have read and agree to abide by the Pacific Crest Trail Long Distance Permit requirements. It is my intent to travel at least 500 miles of the Pacific Crest Trail by foot or hoof in one trip. I will adhere to all applicable local rules and regulations.

Signature___________________________________________


Please expect a wait of two to three weeks once we receive your request. Print, sign and send, along with any necessary payments, to the PCTA via Fax at (916) 285-1865 or mail to:

Pacific Crest Trail Association
1331 Garden Highway
Sacramento, CA 95833