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Alaska West Questionnaire
Please complete this form and submit it to The Fly Shop. The information provided will help us -- and Alaska West best coordinate your trip. THANK YOU!
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Reservation Number
*
Your answer
Your Name:
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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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MM
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Important Travel Information for your Trip
Travel Information To and From Anchorage, Alaska (Please include your flight itineraries here. Dates, times, and flight numbers are helpful in planning your transfers)
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Your answer
Anchorage Hotel Information En Route to Alaska West (Please include name of hotel phone number)
Your answer
Please list any allergies and/or dietary restrictions here
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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 Alaska West staff 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
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Your answer
Date of Birth
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DD
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YYYY
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)
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Your answer
Relationship to Traveler
Your answer
Contact Person's Preffered Phone Number:
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Your answer
Travel Insurance
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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 accommodations with at Alaska West
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Your answer
If you are traveling with a significant other, friend or child please have them fill out this questionnaire as well. Information is needed for ALL anglers.
*
Your answer
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