HOME HUNTING LODGE NEWS & SPECIALS PRE TRIP QUESTIONNAIRE LOCATION CONTACT  
 
  PRE TRIP QUESTIONAIRE
EL MONTE WINGSHOOTING LODGE
 
 
ARGENTINA ENTRY DATE ARGENTINA EXIT DATE YOUR DATES AT EL MONTE LODGE FROM TO
Name (first, middle, last): Mr Dr Mrs Miss Ms Nickname (that you wish to be called):
Home phone: Cell phone: E-mail:
Bus.. phone: Fax: E-mail:
FINAL DOCUMENTS AND NOTIFICATIONS WILL BE SENT VIA E-MAIL. PLEASE PROVIDE A  VALID E-MAIL ADDRESS
Address (including apt #, NE, etc.):
City: State: Post/Zip Code:
Passport #: Country of Issue: Issue date Exp date
Notes Your passport must be valid for 6 months following the last day of your South American trip. If your passport expires before then, please renew it right away.
Occupation: Date of Birth: Country of Birth:
IN CASE OF EMERGENCY PLEASE CONTACT: Name: Relationship:
Day phone: Evening phone: Cell:
Do you speak Spanish: YES NO Fluently: YES NO Medical condition/dietary restrictions:
Physical limitations/difficulty walking:
Do you have any special requests:
NON SHOOTER ACCOMPANYING YOU: Name: Nickname (that you wish to be called):
Address (including apt #, NE, etc.):
City: State: Post/Zip Code:
Passport #: Country of Issue: Issue date Exp date
Occupation: Date of Birth: Country of Birth:
Will you join shooters in field?: Full-time A few times No Special activity interest:
GUN INFORMATION MUST BE ACCURATE. TAKE EXTREME CARE IN COMPLETING THIS SECTION
NO. MAKE MODEL GAUGE SERIAL NUMBER BARREL LENGTH
Date: Do you confirm that you accept the terms and conditions stated in this document: YES NO

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