Questionary
One form per person
Personal Info
Legal Name
*
FULL NAMES
SURNAMES
Email Address
*
example@example.com
Newsletter
Yes, subscribe me to the newsletters.
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
DOB
-
Month
-
Day
Year
Passport Info:
*
Number, Exp Date, Nationality, Please upload an image of passport below
Passport Upload Main Page
*
Browse Files
Drag and drop files here
Choose a file
Main Page
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Emergency Contact:
Name, Relationship, Phone Number
Your Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Medical Conditions
If any
Flight Itinerary
Arrival Flight
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Airline, Flight #, Date & Time of arrival in Guatemala
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Departure Flight
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Airline, Flight No., Date & Time of Departure from Guatemala
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Group Name?
*
Who made the booking?
If you are flying private, please give us the contact name and number of the flight handler
Guatemalan Company Handler Name, ETA, etc
Trip Date
*
Jan 2024 or Jan 2025, etc.
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All about the Fishing
Type of Fishing
Please Select
Conventional Fishing
Fly Fishing
Combination of Both
Or a combination of both
Have you fished with us before? Any Special Requests?
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Dietary Restrictions
Do you enjoy eating any of the following?
Sushi
Sashimi
Ceviche
Black Beans
Spicy Food
Typical Meals
Guacamole
Everything
Food Allergies
Fish
Shellfish
Peanuts
Tree nuts
Milk
Eggs
Wheat
Other
Avoid eating?
Eggs done?
Scrambled, Sunny Side Up, Over Easy, Boiled, Poached, Benedict?
Steak done?
Rare, Medium Rare, Medium, Well Done
Anything else?
Please add anything else that will help us serve you better
What would you like to drink?
Please select all
Beer
Wine
Rum
Wisky
Vodka
Champagne
Non-alcoholic
Tequila
Other
Mixers?
Soda, Coke, Orange Juice, etc
How would you like your Coffee or Tea in the mornings?
Capuchino, americano, sugar, milk, cream, etc?.
For your INFO
Free Wi-Fi
All L'Occitane shower cream, shampoo, conditioner, soap, etc.
We do daily laundry at $15 per day per room
Hair dryers in the bathrooms
Liquor and a good selection of wine
Performance Fishing shirts, hats and visors for sale
All welcome cocktails, soft drinks, coffee & tea are complimentary
Special Requests
Room Configuration?
Single or Couple?
Some cigars?
Massages?
Male or Female Masseuse?
Fishing Shirt Size?
American sizes: Specify men, women, kids
May we use any photos and short videos for Instagram or FaceBook or for referrals to others?
*
Please Select
Yes
No
Only Newsletters
Would you like to be tagged on Instagram?
IG Name?
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If you are staying in Antigua Guatemala, please choose all that apply.
Easy Volcano Climb
Difficult Volcano Climb
Coffee, Macadamia Plantations
Chocolate Museum
Walking Tour of the Old City
TIKAL National Park day tour
Other
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Special Events & Celebrations?
Any Special Celebrations during your time with us?
-
Month
-
Day
Year
Date
Thank you for choosing us to celebrate your special event
Birthday
Wedding Anniversary
Fishing Career Milestone
Graduation Present
Please specify
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Give us a Like and Follow us
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