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Guest Application Form

The following application is for guests staying at the camp for our fish and stay experience. If you are interested in using our equipment or if you are a guide please fill out our general contact form.

*First Name		*Last Name		*Phone
*Email		Address		PO Box
City		State		Zip
Preferred dates you would like to come
Whom would you like to have come along? Number and Names of Companions Ages Dietary Restrictions for you or your companions?
Please tell us about your disability, experience and expectations:
How it affects your daily activities and ability to walk, lift, maneuver, etc. Describe mobility device used (manual wheelchair, power wheelchair, walker, cane, etc.) Types of adaptive equip/assistive tech you use regularly, how used, and your accomplishments. Describe types of adaptive equip/assistive tech that might help you be fully functional at CB Your experience fishing and with water sports. Needs and/or expectations for lodging at the Camp outside of fishing? Any individual requests and/or info you want to share not covered above? Do you have a Service Dog? Breed and Disposition