Mount Agamenticus Conservation Region

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Group Registration Form

Group Registration for the Mount Agamenticus summit and area trails

All group activities must be pre-approved. Please take a few moments to fill out this form. Your responses will help us to better understand how the land is being used, allow us to minimize impacts to natural, agricultural and cultural resources, and to deter group conflicts thereby preserving the quality of every visitors. experience.

For more information about the Mount Agamenticus area, its ecology & conservation, please contact the Conservation Coordinator (207-361-1102). Thank you!

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* Required information.
Group Name *
Contact Person *
Title *
Full Address *
Email *
Date you are planning to visit *
Time of Day and Duration *
What activities would your group like to do at Mt. Agamenticus?
Where would these activities take place?
Please check the terms that describe the activities (check all that apply)
educational
nature study
recreational
training for sport
not-for-profit
for profit
ceremony/ celebration
research or monitoring natural science
How many people will participate in this activity *
Has your group been to the mountain before? *
yes
no
If yes, please describe your visit (what were the activities, where did they take place?) *

Please review the information above before submitting this form.  We would like to make sure your request for your group is completed in a timely manner.

Note: By filling out this form you are merely providing the Mount Agamenticus Steering Committee with information and requesting permission to hold this event/ activity. All rules, regulations, requirements, planning and conditions related to this application are your responsibility.

Upon receipt of this completed form you will be contacted by the Conservation Office to confirm your registration. To help offset maintenance and operational costs a suggested donation will be requested with consideration of group size and impact.

If you are not contacted within 5 business days, please call 207-361-1102.  Thank you.