Registration

Thank you for registering for your trip on-line.

For your peace of mind, the information provided on this form is for pertinent eyes only.

PLEASE NOTE THAT ALL FIELDS ARE REQUIRED.
If you are unable to fill out any of the fields please enter 'N/A' for each incomplete field.

Trip information:

What group are you associated with or who is your group coordinator?
Arrival Date? mm/dd/yyyy
First Name
Middle Initial
Last Name
Mailing Address
City
State
Zip
Phone (xxx-xxx-xxxx)
Email
Gender Male Female
Citizen Yes No
Comments or Questions
Date of Birth mm/dd/yyyy
Driver's License or Personal ID State    Lic/ID #
Weight
Height
Eye Color
Hair Color

Child Information (if any)

You can register your child age 15 and under here.

1st Child:

First Name
Middle Initial
Last Name
Date of Birth mm/dd/yyyy

2nd Child:

First Name
Middle Initial
Last Name
Date of Birth mm/dd/yyyy

Travel Information:

Getting to us:
Arrival Date mm/dd/yyyy
Flight #
Arrival Time to Ketchikan (i.e. 11:30am)
Your trip home:
Departure Date mm/dd/yyyy
Flight #
Departure Time from Ketchikan (i.e. 11:30am)
For your flight home, what is the last airport you land at?
Please let us know of any additional travel plans you may have associated with this trip so we can ensure your logistics accuracy:

Security Question

 
 

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Shelter Cove Lodge  
 
 

P.O. Box 798 Craig, Alaska 99921
Phone: 1-907-826-2939 | FAX 1-907-826-2941
Email: sheltercovelodge@hotmail.com | shelterc@aptalaska.net

© Copyright 2008. Shelter Cover Lodge, Craig Alaska. All rights reserved
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