Info Form Personal InformationName* First Last Group Leader*Phone*Email* Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Drivers License*Last 4 Digits of SSN*Date of Birth* Date Format: MM slash DD slash YYYY Emergency Contact*Emergency Phone*TravelDo you needt o be picked up from Mitchell Airport?*YesNoIf driving to the lodge, what is your approximate arrival time?What is your arrival date? Date Format: MM slash DD slash YYYY What is your flight arrival time? : HH MM AM PM What is your flight departure date? Date Format: MM slash DD slash YYYY What is your flight departure time? : HH MM AM PM Additional InformationDo you have any special diatery needs?YesNoIf you have any special dietary needs, what are they?Do you have any physical needs or concerns?YesNoIf you have any physical needs or concerns, what are they?Do you need to rent a gun?YesNoAny other general comments?