LIL Guest Info Form

Guest Information Form

Thanks for choosing Langara Island Lodge for your upcoming adventure. The info you provide here will help us make your experience as enjoyable as possible.
Important: Please note all fields are required. Your information is needed for purchasing Tidal Fishing Licenses and booking your flights to Langara Island Lodge from Vancouver.
Name*

First NameLast Name
Group Name*
If unsure, provide main contact for group.
Group Size*
The size of your group. If you are on a corporate group you can simply input the group name again.
Trip Date*

MonthDayYear
The date you are arriving at the lodge.
Business Name
If providing a business address.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Your primary phone number with area code.
Home or Office Phone
Email*
For direct communications prior to your trip.
Email Preferences

I'd like to subscribe to the Langara Island Lodge NewsletterReceive trip-related emails only.
Where are you staying the night before your trip?

Fairmont AirportVersanteSheraton AirportMarriott AirportRiver RockPacific GatewayOther
Hotel Other:
List any allergies, medical conditions or dietary needs...
Jacket Size*

SMLXLXXLXXXLXXXXLOwn
Pant Size*

SMLXLXXLXXXLXXXXLOwn
Boot Size*
For women's boots please choose the L options
Birth Date*

MonthDayYear
Required for fishing license purchase.
Height*
Required for fishing license purchase.
Gender*

MaleFemale
Eye Color*

BlueBrownGreenGreyHazel
If you already have a Canadian Tidal Waters licence...
Provide licence # here (Note: be sure your licence includes a Salmon Stamp)
Emergency Contact Person
Name
Relation
Phone Number
Should be Empty:

Guest Information Form