Wilderness Place Lodge
Guest Questionnaire ~ Secure Form
Your Email Address:
Wilderness Place Lodge Arrival Date:
(the date you fly to the lodge)
Your Name:
Group Leader (if applicable):
Phone
(in case we need to contact you last-minute)
The night before our flight to the lodge, we'll be staying at:
(hotel, b&b, etc.)
Medical & Dietary Information
Please describe any health or medical needs, physical limitations, prescriptions or allergies that we should be aware of and how best we can accommodate them. Thank you.
Please enter "None" if you have no medical needs worthy of mention.
Do you have any specific dietary needs or requests?
(Upon arrival and throughout your stay, please be sure to communicate with the chefs to let them know how your culinary experience is going. Our chefs welcome direct feedback from you should they need to make any changes or modifications to improve your meals.)
Is there anything you cannot or will not eat?
Fishing Information
Fishing Information (Select One)
This is my first fishing experience
I've fished a little, but will need instruction
I've fishing a lot and won't need much assistance
I've fished Alaskan waters and am a seasoned pro!
I Plan To (Select One):
Primarily Spin Fish
Primarily Fly Fish
Both Spin and Fly Fish
Not Sure. I will rely on my guide's discretion.
We will include complimentary equipment for you if needed. Please set aside the following fishing gear for me (click all that apply): *
I will be bringing all my own gear and will need nothing from the lodge.
I will need a fly rod/reel combination
I will need a spin rod/reel combination
I will need a pair of waders
I will need a pair of wading boots
Shoe Size (if you need to rent wading boots from us):
If you plan to use one of our spin rod/reels, do you prefer right or left-hand retrieve reel?
Right-Hand
Left-Hand
I don't know / no preference
If you plan to use one of our fly rod/reels, do you prefer right or left-hand retrieve?
Right-Hand
Left-Hand
I don't know / no preference
Some information for the flying service:
Your Age:
Your height:
Your weight:
Some final thoughts...
If you want to share more, please share your main goals/expectations regarding your stay with us.
Hold Harmless Agreement
By checking the box below, I agree to the terms of the Wilderness Place Lodge agreement
found here
Yes, I agree
No, I do not agree
Verification
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