Application For A Wilderness Tourism Licence Page 3
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4All sections of this application must be completed in full, and submitted together with any required
attachments and the required fee.
Street address
Mailing address
Building 271 - 9029 Quartz Road
Registrar, Wilderness Tourism Licensing Act
Whitehorse, Yukon Y1A 4P9
Parks and Protected Areas Branch V-10
Department of Environment
Government of the Yukon
Box 2703
Whitehorse, Yukon Y1A 2C6
For additional information phone 867-667-5648 or toll free 1-800-661-0408, extension 5648
The Registrar reserves the right to reject any application for reasons of insufficient or incomplete information.
The Registrar may request additional information to support this application, for the purposes of fulfilling his/her
duty under the Act.
This information is being collected under the authority of section 3 of the Wilderness Tourism Licensing
Regulation pursuant to the Wilderness Tourism Licensing Act .
WILDERNESS TOURISM REGISTRAR OFFICE USE ONLY
Date application received ______________________________
Licence number ______________________
All necessary information provided
Yes
No
Additional information required ________________________________________________________________
Processed by _____________________________________________________________________________
Method of payment
cheque
cash
money order
Licence expiry date (y/m/d) _________________
Part 6. List of guides and field employees
List only guides and employees working in the field in the Yukon. Note that employee’s names are required for
enforcement of certain regulations; however, only guides are required to have valid certification in First Aid and
level “C” CPR.
For any additional guides, attach information on separate sheet using a similar format.
Applicant’s initials __________
page 3/4
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