Step 1 of 3 33% Thank you for booking a trip to Kulik Lodge! Please fill out the registration form below as completely as possible for each member of your party. This helps our team provide the best experience possible for you and your party.TSA Information (Needed for Flights)Full Name (as it appears on ID)* First Middle Last Birth Date*MMMM123456789101112DDDD12345678910111213141516171819202122232425262728293031YYYYYYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Approximate Weight (with clothes on)*Gender* Male Female Contact InformationEmail* Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Cell Phone Number*Providing a number we can contact you at while traveling allows us to inform you of any weather delays. Reservation InformationBooking ID Number (if known)Please enter your Booking ID exactly as shown on invoiceDate of Trip*MMMM123456789101112DDDD12345678910111213141516171819202122232425262728293031YYYYYYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Party Host/Leader Name (i.e. name on reservation)Are you planning on sharing a cabin with a particular member of your party? If so, who?Do you prefer a shared bed? Yes No Primary Interest of Your Trip (check all that apply)* Fishing Bear/Wildlife Viewing Photography Do you have any allergies and/or dietary restrictions we should know about? If so, please explain below.Do you have any other medical issues or physical limitations that we should be aware of? If so, please explain below.Do you have any other requests you would like our staff to know about? If so, please list below. ACKNOWLEDGEMENT OF RISK AND RELEASE By participating in the services and activities provided by Katmai Air, LLC (Kulik Lodge), I hereby acknowledge the following risks and responsibilities. I acknowledge that my participation in Kulik Lodge’s services and activities are potentially dangerous or hazardous, and could entail both known and unanticipated risks, any or all of which may result in bodily and/or emotional injury, including death, to myself and/or to third persons, and possible damage to property belonging to me, Kulik Lodge and/or third parties. Among the other risks and hazards to which I might be exposed, I acknowledge that these risks could include, without limitation: Flights in small planes in confined spaces to remote locations;Transportation by small boats in open water, rivers and streams;Wading, fishing or hiking along wilderness rivers, streams and other waterbodies;Proximity to bears and other wild animals;Environments that are rugged, remote and not regularly patrolled;Weather that is unpredictable and potentially severe;Sportfishing and other wilderness recreational activities that are inherently dangerous;Proximity to boat motors, airplanes, fishing tackle, knives and other potentially hazardous equipment;Injuries, illnesses (including COVID-19), hypothermia and drowning;Communication systems that may be intermittent, malfunctioning or non-existent; andEmergency medical help that may not be immediately available. I CERTIFY THAT I AM FULLY CAPABLE OF PARTICIPATING IN THE SERVICES AND ACTIVITIES KNOWING AND UNDERSTANDING THE CONDITIONS, RISKS AND HAZARDS LISTED ABOVE. I CERTIFY THAT I HAVE NO KNOWN MEDICAL OR PHYSICAL CONDITIONS THAT COULD INTERFERE WITH ME SAFELY PARTICIPATING IN THESE ACTIVITIES, AND AGREE TO ASSUME ALL COSTS THAT MAY DIRECTLY OR INDIRECTLY RESULT FROM ANY KNOWN OR UNKNOWN MEDICAL OR PHYSICAL CONDITION THAT I MAY HAVE. I ASSUME FULL RESPONSIBILITY FOR MYSELF AND ANY MINORS FOR THE RISK OF BODILY INJURY, DEATH, LOSS OF PROPERTY (INCLUDING MY OWN PERSONAL PROPERTY AND THAT OF KULIK LODGE), AND ANY EXPENSES INCURRED (INCLUDING RESCUE OR RECOVERY EXPENSES) THAT RESULT FROM THE INHERENT RISKS AND DANGERS THAT I MAY BE EXPOSED TO OR DUE TO NEGLIGENCE. I AGREE TO RELEASE, WAIVE AND INDEMNIFY KULIK LODGE FROM ALL LIABILITY FOR ANY AND ALL LOSS OR DAMAGE ON ACCOUNT OF INJURY TO MYSELF, MY MINORS OR MY PROPERTY, WHETHER CAUSED BY NEGLIGENCE OR OTHERWISE WHILE PARTICIPATING IN THE SERVICES AND ACTIVITIES PROVIDED BY KULIK LODGE. I ACKNOWLEDGE THAT I READ THIS ENTIRE DOCUMENT, UNDERSTAND IT AND ACCEPT ITS TERMS. I FURTHER AGREE THAT THIS ACKNOWLEDGEMENT OF RISK AND RELEASE ARE BINDING ON MY HEIRS, SUCCESSORS AND ANY CURRENT OR FUTURE PERSONAL OR LEGAL REPRESENTATIVES OF MY ESTATE. IF ANY PORTION OF THIS ACKNOWLEDGEMENT OF RISK AND RELEASE ARE HELD INVALID, IT IS AGREED THAT THE BALANCE SHALL CONTINUE IN FULL FORCE AND EFFECT. THIS DOCUMENT SHALL BE GOVERNED BY THE LAWS OF THE STATE OF ALASKA. I ALSO ACKNOWLEDGE THAT I HAVE RECEIVED, READ AND AGREE TO ABIDE BY THE REQUIREMENTS OF THE KULIK LODGE COVID-19 CLIENT PROTECTIVE PLAN. By clicking ACCEPT I certify that I have read and agree to the terms above* ACCEPT ACKNOWLEDGEMENT OF RISK AND RELEASE ON BEHALF OF MINORS (Must be completed for participants under the age of 18) On behalf of the minor children for whom I am responsible (Minors), and in consideration for these Minors being permitted by Katmai Air, LLC (Kulik Lodge) to participate in the services and activities provided by Kulik Lodge and to use Kulik Lodge equipment and facilities, I agree that all of the terms of the “Acknowledgement of Risk and Waiver” (Acknowledgement) are incorporated herein and shall apply to the Minors, and that the Minors, including the Minors’ parents, guardians, heirs, successors, personal or legal representatives, and anyone else acting by or on behalf of the Minors, are bound by all of the terms of the Acknowledgement. By clicking ACCEPT below, I certify that I have discussed the risks of these services and activities with the Minors and have explained to the Minors the meaning of the Acknowledgement, and that I have the authority to sign the Acknowledgement on behalf of the Minors and their parents, guardians, heirs, successors, personal and legal representatives, and anyone else acting by or on behalf of the Minors. Click the plus sign to add more participants.Name of MinorAgeWeight (lbs.) Click the plus sign to add more participants.Parent or Guardian Name First Last Relationship to MinorsBy clicking ACCEPT I certify that I have read and agree to the terms above* ACCEPT I am not traveling with minors Δ