Passenger Registration & Release

Please speak with our office first – 877-.647.8268 or 360.697.4242 – before filling out this form.

 

* indicates a required field.

How did you hear about us?

What trip are you interested in? Click here to see our schedule.

Passenger #1

Name*:

Nickname:

Date of Birth*:

Male or Female*: MaleFemale

Passenger #2

Name:

Nickname:

Date of Birth:

Male or Female:

Accompanying Children

I am traveling with children:*

If you are traveling with children, please supply their names and ages.

First Child

Name:

Date of Birth:

Male or Female:

Second Child

Name:

Date of Birth:

Male or Female:

Third Child

Name:

Date of Birth:

Male or Female:

Fourth Child

Name:

Date of Birth:

Male or Female:

(If You Are Not The Parent/Guardian Of Minor Children Listed Here, Your Signature Below Indicates That You Have Their Parent's/Guardian's Permission)

Year-round Address and Contact Information
Final documents will be mailed to this address 30 days prior to trip departure.

Street Address or PO Box*:

City*:

State or Province*:

Zip/Postal Code*:

Country*:

Your Email*:

Home Phone*:

Work Phone:

Cell Phone*:

Fax:

Allergy Information IMPORTANT

I or someone in my party suffers from allergies:*

Allergies (to what, and who has the allergy?):

Does the allergy require an epi-pen?

Are you bringing an epi-pen?

Please list any other medical conditions (i.e. knee/hip replacement, pacemaker, diabetes, or "none")*:

Any difficulty walking, wading, climbing stairs and ladders, or stepping over the side of small boats?

If you answered "yes" above, please explain:

Additional diet or medical comments or requests:

Interests

During your trip, we'll be offering lots of opportunities for hiking, kayaking, fishing, photography, wildlife and glacier viewing, and simply relaxing.

What are you most interested in?*

If you are an avid fly-fisherman, are you bringing your own equipment?

Emergency Contact Information

Emergency Contact Name (not traveling with you)*:

Relationship to you:

Emergency Contact Phone*:

Release:

I have read the Medical Release and Cancellation Policy, and the Contract of Passage. I have authority to accept them on behalf of everyone listed on this form. Typing your name and submitting this form acts as a digital signature.

Signature*:

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