Application For A Wilderness Tourism Licence Page 2
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4Part 2. Wilderness tourism activity
Please indicate the wilderness tourism activity that you intend to provide. (check all that apply)
Winter activities
Summer activities
motorized boat tours
canoeing
cross-country skiing
mountain biking
First Nation cultural tours
dog mushing
mountaineering
heli-hiking
heli-skiing
photographic safaris
hiking/backpacking
snowmobiling
river rafting
horseback riding
rock climbing
kayaking
sport fishing
Other __________________
Part 3. Period in which activities will occur
Please indicate when you will be reporting your trips.
October 31 for summer activities
May 31 for winter activities
Part 4. Mandatory documentation
To obtain a licence under the Wilderness Tourism Licensing Act you must present proof of the following.
a) workers compensation coverage
YWCHSB number _________________ or
sole proprietorship
(Yukon Workers’ Compensation Health and Safety Board must match company name listed in Part 1: Application information, and must
provide coverage for the entire period of operation.)
b) liability insurance coverage, minimum $1 million (Canadian). Attach a copy of your coverage or a certificate of
insurance.
c) valid certification in First Aid and level “C” CPR for each guide listed in Part 6: List of guides and field
employees.
Part 5. Annual application fee, $100 (Canadian)
Payment can be made by cheque, cash or money order in Canadian dollars. Do not send cash through the mail.
Make cheques or money order payable to the Government of the Yukon. (There is no GST.)
I,_________________________________________________ director, officer or authorized
Name
representative of __________________________________________________, declare that the
Name of business to appear on licence
information provided on this application is true and correct to the best of my knowledge.
I acknowledge and agree that the falsification of information is considered grounds for refusal,
suspension, or cancellation of my licence.
SIGNATURE OF APPLICANT OR AUTHORIZED OFFICIAL
DATE (YY/MM/DD)
Applicant’s initials __________
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