619 W. Pine Street
Lodi, CA 95240
(209)368-9261

 fly, fishing, fly fishing, fly fishing trips, adventure, Baja, Sierra, Shad, Striped Bass, Steelhead, black bass, bass, Alaska, Alagnak Lodge, Loreto, Baja California, Yucatan, Ascension Bay, Pesca Maya, Al, lodi, lodi california, calif, ca

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 Excellent Adventures

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fly,fishing,fly fishing,fly fishing trips,fly fishing,adventure,Baja,Sierra,Shad,Striped Bass,Steelhead,black bass,bass,Alaska,Alagnak Lodge,Loreto,Baja California,Yucatan,Ascension Bay,Pesca Maya,Al,lodi,lodi california,calif,AND,+

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fly,fishing,fly fishing,fly fishing trips,fly fishing,adventure,Baja,Sierra,Shad,Striped Bass,Steelhead,black bass,bass,Alaska,Alagnak Lodge,Loreto,Baja California,Yucatan,Ascension Bay,Pesca Maya,Al,lodi,lodi california,calif,AND,+

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fly,fishing,fly fishing,fly fishing trips,fly fishing,adventure,Baja,Sierra,Shad,Striped Bass,Steelhead,black bass,bass,Alaska,Alagnak Lodge,Loreto,Baja California,Yucatan,Ascension Bay,Pesca Maya,Al,lodi,lodi california,calif,AND,+

or

fly,fishing,fly fishing,fly fishing trips,fly fishing,adventure,Baja,Sierra,Shad,Striped Bass,Steelhead,black bass,bass,Alaska,Alagnak Lodge,Loreto,Baja California,Yucatan,Ascension Bay,Pesca Maya,Al,lodi,lodi california,calif,AND,+

Name

Address

City State   Zip

Phone   Fax E-Mail

 

Please sign me up for the Adventure on 2007.


Deposit Amount Enclosed to Hold Space for this Trip. $

fly,fishing,fly fishing,fly fishing trips,fly fishing,adventure,Baja,Sierra,Shad,Striped Bass,Steelhead,black bass,bass,Alaska,Alagnak Lodge,Loreto,Baja California,Yucatan,Ascension Bay,Pesca Maya,Al,lodi,lodi california,calif,AND,+ Signature:  ________________________________________________

I prefer to pay the total amount for this Trip. $ . 

fly,fishing,fly fishing,fly fishing trips,fly fishing,adventure,Baja,Sierra,Shad,Striped Bass,Steelhead,black bass,bass,Alaska,Alagnak Lodge,Loreto,Baja California,Yucatan,Ascension Bay,Pesca Maya,Al,lodi,lodi california,calif,AND,+  Fax to: (209)368-7435
or

fly,fishing,fly fishing,fly fishing trips,fly fishing,adventure,Baja,Sierra,Shad,Striped Bass,Steelhead,black bass,bass,Alaska,Alagnak Lodge,Loreto,Baja California,Yucatan,Ascension Bay,Pesca Maya,Al,lodi,lodi california,calif,AND,+

 If paying by check, mail to:

Excellent Adventures
619 W. Pine Street
Lodi, CA 95240

For Excellent Adventures Patrons
Personal Information:

(We need this information to make sure you are properly accommodated during the adventure.)

Name Sex Age

Any physical conditions we should be aware of? (please include allergies, asthma,  heart problems.

Physical Limitations

Briefly explain physical limitations:

Any food restrictions?

Briefly list any food restrictions. 

Waiver of Liability

fly,fishing,fly fishing,fly fishing trips,fly fishing,adventure,Baja,Sierra,Shad,Striped Bass,Steelhead,black bass,bass,Alaska,Alagnak Lodge,Loreto,Baja California,Yucatan,Ascension Bay,Pesca Maya,Al,lodi,lodi california,calif,AND,+ I,  ________________________________ , realize that fishing, activities around water, camping, horseback riding, air travel, vehicle travel, travel by commercial carrier, walking, climbing, boating, wading, food consumption, and ANY other activity encountered in, while traveling to, engaged in, or traveling from any Excellent Adventures trip, involves risks to health, and possible injury up to and including death.

I agree that Al, his spouse, relatives, estates, and heirs assume no risk or liability in my participating in any "adventure" and my participation is of my own choosing and in full knowledge that any illness or injury I may suffer are through no fault of Al, his spouse, relatives, estates and heirs, even if Al and/or his spouse should be reckless or careless in their activities and operation since the decision to participate in the activity was mine alone.

I am aware that Excellent Adventures may hire agents, individuals and contractors to provide services and that, once hired, these agents, individuals and contractors are beyond the control of Al.  Any activities these agents, individuals and contractors may engage in and which I participate in are of my own choosing and I do not hold Excellent Adventures liable should any accident, illness or injury occur. Excellent Adventures offer no assurances that any agents, individuals and contractors have the proper licenses, insurance or training to perform the activities they are offering and Excellent Adventures make no representations as such.

I agree I alone am responsible for my own health safety and welfare while traveling to, participating in, and returning from any Excellent Adventures trip and:

I release Al, his spouse, relatives, estates and heirs from any liability whatsoever, regardless of the cause or fault, mine, or theirs, whether through accident, carelessness or recklessness, or lack of intent in caring for my health, safety and welfare.

I offer my signature as proof that I have read, understand and voluntarily agree to this waiver of liability.
fly,fishing,fly fishing,fly fishing trips,fly fishing,adventure,Baja,Sierra,Shad,Striped Bass,Steelhead,black bass,bass,Alaska,Alagnak Lodge,Loreto,Baja California,Yucatan,Ascension Bay,Pesca Maya,Al,lodi,lodi california,calif,AND,+ Signature: _________________________________________________________
fly,fishing,fly fishing,fly fishing trips,fly fishing,adventure,Baja,Sierra,Shad,Striped Bass,Steelhead,black bass,bass,Alaska,Alagnak Lodge,Loreto,Baja California,Yucatan,Ascension Bay,Pesca Maya,Al,lodi,lodi california,calif,AND,+ Date:         ____________________________________________

fly,fishing,fly fishing,fly fishing trips,fly fishing,adventure,Baja,Sierra,Shad,Striped Bass,Steelhead,black bass,bass,Alaska,Alagnak Lodge,Loreto,Baja California,Yucatan,Ascension Bay,Pesca Maya,Al,lodi,lodi california,calif,AND,+ *** Please remember to sign before you send. ***
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