Mount Agamenticus Conservation Region

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Group Registration Request

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.
DATE YOU ARE PLANNING TO VISIT *
START & END TIME *
GROUP NAME *
CONTACT PERSON *
TITLE *
FULL ADDRESS *
EMAIL *
PHONE NUMBER *
NUMBER OF ADULTS/CHAPERONES *
NUMBER OF CHILDREN *
What activities would your group like to do at Mt. Agamenticus? *
Where would these activities take place? *
Would you like a guided program by a Mt. A staff member? If so, please describe what you would like to do. *
Would you like to use the Learning Lodge or any other lodge facilities (fees apply)? *
Has your group been to the mountain before? *
yes
no
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

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 and determine your fee. Fees help offset maintenance and operational costs and are based on group size and impact (see fee chart).

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