Client Name *

First Name

Last Name

Guest Name(s)

First Name

Last Name

First Name

Last Name

First Name

Last Name

Preferred Communication Method *

Call

Text

Email

Have you fly-fished before? *

Yes

No

How many days a year do you fish on average? *

First time fishing

1-25

25-50

Over 50

Do you need to borrow any of the following? *

Waders & boots

Rod & reel

None

Are you or is anyone in your group left-handed (holds rod in left hand, reels with right hand)?

Me

Guest 1

Guest 2

Guest 3

Wading in strong, moving water *

1

2

3

4

5

Walking on & climbing over extremely slippery & uneven surfaces *

1

2

3

4

5

Moving up & down extremely steep, uneven, & slippery inclines *

1

2

3

4

5

Walking several miles *

1

2

3

4

5

Being out in the elements for a long period of time *

1

2

3

4

5

Standing up for long periods of time *

1

2

3

4

5