Test Trip to Nowhere Miramar Ski Club Winter Bus Trip Reservation - Month DD to DD, YYYYWelcome! Please fill this out when you are ready to sign up to go on the weekend bus trip, MM/DD - MM/DD/YYYYIn order for information to be registered you must click "Submit" at the end.Once you see the confirmation screen you'll be registered. There is no need to call the club phone.If you are a couple, family, or group you must complete and submit a separate entry for each person.Miramar Ski Club is a not for profit group and will not share or distribute your personal information with any other outside group.* RequiredI commit to going on the trip for the dates listed above *Confirm that you have the correct dates and check boxYesI need more information. Please have a club representative contact me. <you must fill out required fields on form and "Submit."Tripper Type *Please note: Individuals, members of AMC, as well as other organizations are welcome as guests. After three bus trips with Miramar guests may apply for separate Ski Club Membership. If you don't know how many previous trips you have been on as a guest with Miramar select "Guest 4+". Member - I am a Member of the Miramar Ski ClubGuest 1 - I am new to Miramar Ski Club and have never been on a winter trip with the club beforeGuest 2 - This will be my second trip as a guest of Miramar Ski ClubGuest 3 - This will be my third trip as a guest of Miramar Ski ClubGuest 4+ - This may be my fourth or more winter trip as a guest of Miramar Ski ClubLeader - I am the Trip Leader on this tripStaff - I am the Staff on this tripSIT - I am Staff in Training on this tripChild age 3 to 6 - Must be accompanied by Miramar member going off busChild age 7 to 17 - Must be accompanied by Miramar memberChild age 7 to 17 off bus - Must be accompanied by Miramar member going off busYoung Adult age 18 to 25 - Full time student supported by member parentsFirst Name *Your answerLast Name *Your answerGender *MaleFemaleE-Mail Address *Your answerDaytime Phone *Your answerEvening Phone *Your answerMobile/Cell PhoneYour answerName of Emergency Contact PersonYour answerPhone number(s) of Emergency Contact PersonYour answerTransportation - bus departure time & location *please arrive 30 minutes prior to departure5:00pm Long Island - LIE Exit 36 Searingtown Road - Christopher Morley Park Parking Lot6:15pm New York City - Manhattan - East side of 6th Ave (mid-block) between 23rd and 24th St7:00pm New Jersey - Route 17 NJ Transit Station - 1 Spring Street - RamseyCar - Members only - I am traveling by carCar Child - Member Child only traveling by carOther:Preferred Winter Activity *Select what you do most of the time or plan to do on this trip. You may change your mind at any time. Downhill SkiingSnowboardingCross-Country SkiingSnowshoeingOther:Meal Preference *There are no special meal requests beyond these choices. Once selected you may not change.RegularNon-Red MeatVegetarianIf there are other persons coming with you enter names herenot required - List names of couples / families / group of friends if applicable (each person going is required to complete separate registration)Your answerName of person going on trip I prefer to sit next to on busnot required - singles welcomeYour answerName(s) of person(s) going on trip I prefer to room with in the lodgenot required - singles welcome - trip leader will try to accomodate your requestYour answerDo You Snore?YesNoOccasionallyClear selectionNextNever submit passwords through Google Forms.This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy Forms