JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Duncans & Sons Steelhed Camp, Kodiak Island, AK Questionnaire
Please complete this form and submit it to The Fly Shop. The information provided will help us -- and the Duncan Family best coordinate your trip. THANK YOU!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Reservation Number
Your answer
Your Full Name:
*
Your answer
Name(s) of others traveling with you:
Your answer
Date of Arrival
*
MM
/
DD
/
YYYY
Date of Departure
*
MM
/
DD
/
YYYY
Important Travel Information for your Trip
Travel Information To and From Anchorage, Alaska (Please include airline, flight number, arrival and departure times)
*
Your answer
Travel Information To and From Kodiak Island, Alaska (Please include complete flight itineraries here)
*
Your answer
Kodiak Island, Alaska Hotel Information (Please include name of hotel phone number)
*
Your answer
Please list any allergies and/or dietary restrictions here
*
Your answer
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 Duncan's Team 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
/
DD
/
YYYY
Body Weight (important for charter flight to camp)
*
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
Your answer
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.
Your answer
Name of person whom you wish to share a tent with
*
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Theflyshop.com.
Report Abuse
Forms
