Guest Information Form

Thank you for choosing Langara for your upcoming fishing adventure!

Please take a moment to complete this form. The info you provide will help us make your experience as comfortable as possible.

If you prefer to print this form and fax it to us, click here for a PDF version of the form.

Trip Information

Lodge:

Trip date: *

Group name:

Contact Information

First name: *

Last name: *

Company (if providing Company address):

Address:

City:

Province/State:

Postal/Zip Code:

Country:

Add to Langara mailing list:

Yes

To receive our annual Calendar and Newsletter.

Phone (mobile):

Phone (home):

Phone (work):

Preferred contact number:

Mobile

Home

Work

Emergency contact:

Relation:

Phone:

Email Preferences

Main Email, for direct communication:

2nd Email, for Langara's Email List (leave blank if same as Main Email):

Email preferences:

Personal Information

List any allergies, medical conditions or dietary requirements:

Marine clothing sizes

Jacket:

Pants:

Boots:

Fishing Licence

Date of birth (yy-mm-dd):

Driver's licence or passport #:

Why do we ask?

This information is required for your fishing licence; by providing it now your licence will be ready for you at check-in. Langara will not use or distribute this information for any other purpose.

If you already possess a Canadian Tidal Waters licence, please provide licence number:

Please provide any additional info to help us make your trip as enjoyable as possible:

To help cut spam and allow us to focus on our guests, please type LANGARA here: *

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Guest Information Form

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