BELIZE FISHING QUESTIONNAIRE
P.O. Box 2027, Napa, CA 94558
888-347-4896 Fax - 707-255-3812 E-mail - flyfish@napanet.ne

This form is provided to gather information to complete preparations for your Belize trip.
You are scheduled aboard the ___________ for a party of _______ from ______ to ________.

TRAVEL INFORMATION: I will be arriving Belize City on

I will be departing Belize City on

Name:___________________________ Phone: Home _______________

Address:______________________________ Office_______________

_____________________________________ Fax _______________

E-mail ________________

Are there any special dietary factors to consider in meal planning?:______________________________________________________________________________________________________________________________________________________________________________________________

Which of these statements best describes the way we view our trip:
____ A fishing trip
____ Relaxing while we do some fishing and experience the reefs and cays offshore Belize.
____ Entertaining teenagers or children that will be accompanying us (ages:___________)

Knowing your priorities will help us in discussing locations to visit on your trip.

My fishing priorities are (number your top 5, 1 being your top priority):
____ "Sight fish" for bonefish (____ spin; ____ fly).
____ "Sight fish" for tarpon (____ spin; ____ fly).
____ "Sight fish" for permit (____ spin; ____ fly).
____ Catch a tarpon regardless of fishing method.
____ Catch as many fish as possible regardless of species or fishing method.
____ Troll near reef for great variety of fish.
____ Cast to mangrove edges for snappers, snook, and "baby" tarpon.
____ Catch my first bonefish on a fly.
____ Other: _______________________________________________________
_______________________________________________________

My level of casting experience is best described as:
Spin fishing or bait casting -
____ Novice
____ Reasonably accurate
____ Very accurate

Fly fishing -
____ Never
____ Fished for trout
____ Fished for bonefish and/or tarpon
____ I can "double-haul" and cast to 50 - 60 feet
____ I have no saltwater fly fishing experience, but I am willing to suffer some frustration to attempt to learn the basics.

In the event of an emergency, contact:

FINANCIAL MATTERS:
Cost of trip: _________________
Deposit Paid: _________________
Balance Due by _________________



Statement of Liability Waiver and Refund Policy: Please Read Carefully Belize Fishing Adventures or any of itís associates acts as an agent for resorts, outfitters, guides and other service providers, which are separate businesses. Trips offered by us entail some inherent risk of injury, illness, or death due to various occurences. We are not responsible for any such injury, illness, or death and participants in any of our itineraries explicitly agree that we shall be held harmless from liability for any injury, illness, or death. Belize Fishing Adventures (et al) is not responsible for acts of God, such as but not limited to bad weather, forest fires, airline strikes, wars or civil unrest. No refunds of deposits or payments will be given under such circumstances. If you are going to be traveling outside of the United States we recommend that you check with your personal physician regarding precautions you should take and preparations you should make. To protect your investment in your travel plans, we recommend that you consider trip cancellation insurance. We can supply information on one such company if you request it.