Guest Questionnaire

Information for Alaska Fishing License

1. Your Name(required)
2. ( as it appears on your drivers license )
3. Email(valid email required)
4. Mailing Address
5. City
6. State
7. Zip Code
8. Date Of Birth
9. Sex
10. Male Female
11. U.S. Citizen?
12. Yes No
13. Driver's License Number & State
14. Weight (lbs)
15. ( also critical for aircraft safety reasons )
16. Eye Color
17. Height

Just in case of emergency

1. Emergency Contact Name
2. Emergency Phone Number
3. FOOD, DISLIKES OR ALLERGIES: We take pride in offering only the freshest of fruits, vegetables, etc. that areavailable to us. Our meals are “Alaskan” Gourmet and we do try and pay attention to todays health concernswithout taking away from flavor. However, if you have any special diet needs we would like to know ahead oftime so that we can do everything possible to accommodate. Please list any concerns here:
4. SPECIAL CONCERNS: Do you have any medical concerns that we should know about? I.e. diabetes, heartconditions, allergic reactions etc

Travel Arrangements... call with any questions 1-800-819-0750

1. ARRIVIAL FLIGHT INTO DILLINGHAM
2. Flight Number
3. Time
4. DEPARTUE OUT OF DILLINGHAM
5. Flight Number
6. Time
7. Hotel -- if over-nighting in Anchorage
8. Hotel Name
9. Hotel Phone Number

in Regards to Fishing

1. Is this your first visit to Misison Lodge?
2. Yes No
3. If "NO", when was the last time?
4. As an angler, at what level do you consider yourself?
5. Expert Advanced Intermediate Novice
6. As a fly fishing angler, how would you rate your skills?
7. Advanced Intermediate Beginner
8. If you do not Fly Fish, do you want to learn?
9. Yes No
10. What fishing skills would you like to improve on?
11. Fly Tying Fly Casting Reading the Water Knot Tying Spin Fishing Bait Casting
12. What Species of Fish are you most interested in?
13. Salmon Trout Grayling Char Pike
14. Do you have any physical limitations that would hinder you in any way on the fly outs?
15. REGARDS TO THE FLIGHTSEEING. . . We are happy to accommodate sight-seeing requests other thanfishing. Please check off the sights below if you would like for us to schedule them during your stay: (keepin mind these are weather dependent and seasonal)
16. Katmai National Park - Brooks Falls (view bears feeding on salmon in falls) Katmai National Park - Valley of 10,000 Smoke Caribou/Moose viewing Walrus Viewing Wood-Tikchik Park - Lake Hopping

 

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