Lock and Low Land Use and Activity Form
 

First Name Last name Club Name Address City State Zip District Date of Activity Project or Activity Check one or more Location National Forest BLM Resource Area State SVRA Other Trail Name Number of People Days in Area Number of Vehicles Miles Traveled Off Road Are you Submitting For and Award Additional Information

CA AZ NM NV OR UT North Central South Out of State Jan Feb Mar Apr May Jun Jul Aug Sep Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2007 2008 2009 2010   Recreation    Conservation   CA4WDC Event  None Winter Fun CA4WDC Convention Molina Ghost Run High Desert Round Up Sierra Trek High Sierra Poker Run Desert Fun Paniment Valley Days CA4WDC District Meeting Deligate CA4WDC District Meeting Club Member State BOD Meeting Deligate State BOD Meeting, Club Member State BOD Meeting, BOD Member Competition   Adopt A Trail   Work Project    Other None Angeles National Forest Cleveland National Forest Eldorado National Forest Inyo National Forest Klamath National Forest Lake Tahoe Basin National Forest Lassen National Forest Los Padres National Forest Mendocino National Forest Modoc National Forest Plumas National Forest San Bernardino National Forest Sequoia National Forest Shasta-Trinity National Forest Sierra National Forest Six River National Forest Stanislaus National Forest Tahoe National Forest Toiyabe Humbolt National Forest None Alturas Resource Area Arcata Resource Area Bakersfield Resource Area Barstow Resource Area Bishop Resource Area Caliente Resource Area Clear Lake Resource Area Eagle Lake Resource Area Elcentro Resource Area Folsom Resource Area Holister Resource Area Needles Resource Area Palm Springs Resource Area Reading Resource Area Ridge Crest Resource Area Suprise Resource Area None Carnegie SVRA Holister SVRA Hungry Valley SVRA Prarie City SVRA Oceano Dunes SVRA Ocotillo Wells SVRA Yes    No

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