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Mountain Climbing Notification (For Summer and Fall) Submission Date

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Mountain Climbing Notification (For Summer and Fall) Submission Date Appended Form (Re: Article 5) Submission date: / / Time: (AM / PM) Governor of Gifu Prefecture Mountain Climbing Notication (for Summer and Fall) ( yyyy / mm / dd ) is notication is submitted in accordance with the provisions of Article 5, Section 1 regarding the prevention of mountaineering accidents in the Northern Alps Zone and Active Volcano Zone of Gifu Prefecture. （）Address and Name, gender, Address: emergency and age of contact submitter Gender: M / F （ Age: ） information Normal telephone: － － Emergency telephone: － － Start climbing on: Date (yyyy/mm/dd): / / Mountain- Mountain entrance Waypoints Mountain exit Return on: Date (yyyy/mm/dd): / / climbing ～ ～ Additional days: days (returning on ) route Mountaineering group Purpose of Group Contact － － mountain climbing membership overview name number Provisions and days’ worth Mountain climbing trip (diagram) Indicate your route with arrows and enter overnight stays in the ( / ). drinking water Carried provisions (Yes, days’ worth / No) Yes / No Means of （ ／ ） （Wireless: Hz） Toyama Toyama Takamagahara communication （Mobile phone: ） （ ／ ） Hietsu Tunnel Oritate（ ／ ） Yakushizawa Cabin（ ／ ） Yes / No Kamioka Mountaineering Tarodaira Cabin insurance (provider) （ ／ ） Utsubo Kitanomata ▲ Shelter Cabin Mt. Kitanomatadake （ ／ ） Lodging ▲Mt. Kurobegorodake Renge（ ／ ） Cabin / Tent Tengaizan（ ／ ） Kumonodaira Lodge（ ／ ） Kurobegoro Lodge（ ／ ） Equipment Mt. Kasagatake Kasagatake Eboshi（ ／ ） ▲ （ ／ ） （ ／ ） Lodge · Crampons （ Yes / No） Mt. Shakujodake▲ Mt. Mitsumatarengedake Mitsumata Lodge （ ／ ） ▲Mt. Nukedodake ▲Mt. Yumioridake ▲ ▲Mt. Sugorokudake · Pick-axe （ Yes / No） Noguchigorodake Sugoroku Cabin （ ／ ） （ ） （ ／ ） · Yes / No Yarimi Onsen Wasabidaira Cabin Kagamidaira Lodge Tent （ ） （ ／ ） （ ／ ） Color: ▲Mt. Momisawatake · （ Yes / No） Snow gear （ ） Tochio Shinhotaka （ ／ ） ▲Mt. Hidarimatadake Color: ▲ （ Yes / No） ▲ Mt. Okumaruyama · Shinhotaka Hotakataira Cabin Mt. Nakasakiyama Backpack （Color: ） （ ／ ） Hirayu Nakao Ropeway （ ／ ） （ ／ ） Mt. Yarigatake （ ） ▲ · Yes / No Shirade Takidani Shelter Yaridaira Cabin Rain gear （Color: ） Cabin Yarigatake Lodge（ ／ ） Takayama （ ／ ） （ Yes / No） Mt. Obamidake · Helmet （ ） Mt. Minamidake Yumata Lodge（ ／ ） Color: Mt. Yakedake Mt. Nishihotakadake Mt. Okuhotakadake Mt. Karasawadake Mt. Nakadake ▲ ▲ Yakedake Cabin Nishiho Lodge ▲ ▲ Hotakadake Lodge ▲ ▲ Kitahotaka Cabin Minamidake Cabin ▲ ▲ （ ／ ） （ ／ ） （ ／ ） （ ／ ） Mt. Kitahotakadake（ ／ ） （ ／ ） · Other Abo Tunnel Sessho Hut Hut Oyari（ ／ ） Nanakura Lodge Dakesawa ▲ Yarisawa Lodge Nakanoyu （ ／ ） Mt. Maehotakadake Karasawa（ ／ ） （ ／ ） Hut Nishidake（ ／ ） Kamikochi Myojin Tokusawaen Yokoo Lodge Mt. Jonendake Jonen Cabin Vehicular road （ ／ ） （ ／ ） （ ／ ） ▲ Otensho Hut（ ／ ） （ ／ ） ▲Mt. Nagakabeyama Mt. Chogatake （ ／ ） Mountain path Mt. Kasumizawadake▲ ▲ ▲ Shinano- Chogatake Hut Mt. Otensho Mountain entrance/exit Shimashimajuku Iwanadome Cabin Tokugotoge Cabin Otaki Lodge （ ／ ） Mt. Tsubakurodake▲ omachi （ ／ ） （ ／ ） （ ／ ） （ ／ ） Summit Mitsumata（ ／ ） Legend （ ／ ） Overnight (mm/dd) Note: In the “purpose of mountain climbing” space, write something specic, such as mountain climbing, river trekking, or rock climbing. Make preparations for accident notification and other Useful Info ◆Northern Alps Mountain Cabin Info ◆Emergency Contact Information emergencies by taking along a “notification card” Name Telephone（ofce） Telephone（cabin） ◆Area to which these rules apply Yakedake Cabin If you have an accident or injury… Toyama Nishiho Lodge while you are mountain climbing. Area in which the Gifu prefectural Prefecture Call 110 for police, 119 for fire. mountaineering accident Hotakadake Lodge prevention provisions apply Sugorokudake Momisawadake Yarigatake Lodge Minamidake Cabin Applicable area Yarigatake ◆Cell phone service areas Kitahotaka Cabin Danger zone Kasagatake Takidani Sugoroku Cabin Prefectural border ［Docomo］ ［Softbank］ Kitahotakadake Kagamidaira Lodge Anagedani Okuhotakadake Check before Shakujotake Wasabidaira Cabin (Reverse) Kurobegoro Lodge your trip! Yaridaira Cabin Nagano Cell phone Number of Gifu Yakedake Prefecture Prefecture Kasagatake Lodge service areas Total: people See here for details. mountain climbers Areas within 1km from the crater Hotakataira Cabin For facility information, periods of availability and other details, contact the cabin. Name Age Gender Address Contact info (telephone) M / F Home / Work（ ） － M / F Home / Work（ ） － M / F Home / Work（ ） － M / F Home / Work（ ） － M / F Home / Work（ ） － M / F Home / Work（ ） － M / F Home / Work（ ） － M / F Home / Work（ ） － M / F Home / Work（ ） － M / F Home / Work（ ） － M / F Home / Work（ ） － M / F Home / Work（ ） － M / F Home / Work（ ） － M / F Home / Work（ ） －.
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