La Posada de los Farios Lodge - The Inn of the Brown Trout

La Posada de los Farios - Guest Information Form

Name

First Name

Last Name

Phone

(###)

###

####

Date of birth (month/day/year)

YYYY

Passport number, nationality and date of issue

Your dates at Lodge:

Your flight information: dates, flight numbers, arrival and departure times to/from Balmaceda (BBA) airport:

Accommodations: Are you coming as a single or sharing a room/guide with someone? If sharing, who are you sharing with/

Special dietary requirements or other requests:

Important medical or physical issues we should be aware of:

Emergency contact and your relationship to this person:

Briefly describe your fishing and travel/outdoor experience:

Responsibility Statement: By submitting this form I hereby certify that I take full responsibility for any personal medical, physical or psychological conditions that may arise during my stay at La Posada de los Farios. I am unaware of any medical, physical or psychological issues that could in any way impair my ability to make this trip and I take full responsibility for the provision of any emergency medical care I may need during my stay and for having personal medical and travel insurance to cover myself in case of an emergency. If there are any changes in my medical or physical condition before or during my stay, I will immediately bring it to the attention of the lodge staff.

Agree

La Posada de los Farios - Guest Information Form

Thank you! Your guest information form has been submitted.