Lodge Guest Information Form Wilderness Lodge Adventures Guest InformationPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Reservation DateMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Trip Descriptionexample: 3 Day Wilderness Escape at China Bar, 4 Day Fishing at Ram House lodgeName *AgeAllergies?No AllergiesYes in Would Cans If Yes Explain AllegiesPhysical Limitations and or Health Concerns/MedicationsDietary Restrictions (Strict Diets Only NOT Preferences)NoneVegetarianVegetarian but will eat FishVegetarian but will eat Eggs and DairyGluten FreeProvided Drink Request/PreferenceCokePepsiDiet CokeDiet PepsiSpriteFlavored Sparkling WaterIced Tea (Lodge Only)Lemonade (Lodge Only)I will bring my ownWould you like additional room for Alcohol (Beer in Cans Only Please! - Wine and Hard Liquor Glass Bottles O.K.)NoYes (I would like to Pre-Order)Yes (a few cans)Yes (I'm going to have fun)Submit