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Baranof Wilderness Lodge, AK Questionnaire
Please complete this form and submit it to The Fly Shop. The information provided will help us -- and Baranof Wilderness Lodge best coordinate your trip. THANK YOU!
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Reservation Number
Your answer
Your Name:
*
Your answer
Name(s) of others traveling with you:
Your answer
Date of Arrival
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Date of Departure
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Important Travel Information for your Trip
Travel Information to Juneau Alaska (Please include your flight itineraries here)
*
Your answer
Juneau Hotel Information En Route to Baranof Wilderness Lodge (Please include name of hotel phone number)
*
Your answer
Travel Information from Sitka Alaska back home (Please include your flight itineraries here)
*
Your answer
Please list any allergies and/or dietary restrictions here
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Special Requests, Needs, Health Concerns
Please keep in mind that Alaska fishing operations are remote, and not all requests can be accommodated. The Fly Shop and the Trotters will do everything in their power to accommodate your needs.
Your answer
Personal Contact Information
Your personal contact information, in case we need to reach you prior to your trip or en route to the destination.
Preferred Contact Phone Number
*
Your answer
Date of Birth
MM
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DD
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YYYY
Body Weight
We need this information for your bush plane flight to and from Baranof Wilderness Lodge from Sitka
Your answer
Emergency Contact Information
We hope we never need this information, but just in case, we ask that you provide us with your preferred emergency contact information.
Emergency Contact Person (Name)
*
Your answer
Relationship to Traveler
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Contact Person's Preffered Phone Number:
*
Your answer
Travel Insurance
Travel Interruption and Cancellation Insurance is OPTIONAL, but STRONGLY RECOMMENDED. If you have purchased travel insurance for your trip, please list below your travel insurance company and the policy number.
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Name of person whom you wish to share accommodations with at Baranof Wilderness Lodge
Your answer
Have you emailed your signed Liability Release form to
travel@theflyshop.com
Yes
No
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