Print and fill out this application providing complete information. Sign the form and be sure to include your first, second and third choice dates. Type or print legibly. Faxed copies of the application will not be accepted.
Mail this application to:
Kern River Ranger District-Kernville Office,
c/o River Permits
P.O. Box 9
Kernville, CA 93238.
Enclose a personal check, cashier's check or money order in the amount of $10.00. Checks should be made payable to:
USDA-Forest Service.
Please, do not send cash. Also, each application must have its own separate check attached. A separate permit is required for each trip.
Please Provide the Following Information
Name:_____________________________________________________________
Address:___________________________________________________________
City, State, Zip:______________________________________________________
Phone Number (Day):_________________________________________________
TYPE OF CRAFT:
_____Raft _____Kayak _____Other
Number of persons in party __________
PLEASE INDICATE YOUR CHOICE OF DATES:
1st Choice______________________________________ Starting Date __________
2nd Choice______________________________________ Starting Date___________
3rd Choice______________________________________ Starting Date___________
PERMIT PICKUP STATION
_____Kernville _____Springville
CONDITIONS OF USE
1. Your signature as party leader affirms that the following conditions for a non-commercial permit have been met.
A. There is a bona fide sharing of expenses by everyone.
B. There are no fees collected in excess of the actual cost of the trip.
C. There is no financial gain by any member of the group.
D. Trip expenditures do not include any payment of salaries.
E. No charge is collected for use of the equipment.
F. There is no direct mail or media advertising.
G. Each party leader must carry their permit and display upon request of any authorized
official.
APPLICANT'S SIGNATURE_____________________________________________DATE____________
This form was last updated on 01/10/05.