Smith River Float Pre-Trip Questionnaire Name(s) Email Cell Phone Mailing Address Address Address Line 2 City State Zip Arrival Date of Arrival Flight Information Airport Flight Number Arrives Departure Date of Departure Flight Information Airport Flight Number Departs If driving, please indicate when you expect to arrive Pre-Trip Lodging: Phone: Post-Trip Lodging: Phone: Please contact us at HEALING WATERS LODGE 406-684-5960 if there are any changes to your travel plans (such as canceled/missed flights, emergencies, illness, etc) so that we can plan accordingly. Please enter your Name as it appears on your MT Fishing License and your Birthdate-ALS# or Birthdate if that is all you have. Use separate lines for each license. (Required for each guest who will be fishing): Will you need Fishing Equipment? YesNo Food Allergies/Restrictions/Medical Limitations: We provide a variety of beer, wine & soft drinks: (If you have specific requests, please note below. We will try to accommodate based on availability in our area.) Emergency Contact Information: We strongly recommend you purchase travel insurance by clicking here