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Test Trip to Nowhere

Miramar Ski Club Winter Bus Trip Reservation - Month DD to DD, YYYY
Welcome! Please fill this out when you are ready to sign up to go on the weekend bus trip, MM/DD - MM/DD/YYYY
In 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.
* Required
I commit to going on the trip for the dates listed above *
Confirm that you have the correct dates and check box
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+".
First Name *
Your answer
Last Name *
Your answer
Gender *
E-Mail Address *
Your answer
Daytime Phone *
Your answer
Evening Phone *
Your answer
Mobile/Cell Phone
Your answer
Name of Emergency Contact Person
Your answer
Phone number(s) of Emergency Contact Person
Your answer
Transportation - bus departure time & location *
please arrive 30 minutes prior to departure
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.
Meal Preference *
There are no special meal requests beyond these choices. Once selected you may not change.
If there are other persons coming with you enter names here
not required - List names of couples / families / group of friends if applicable (each person going is required to complete separate registration)
Your answer
Name of person going on trip I prefer to sit next to on bus
not required - singles welcome
Your answer
Name(s) of person(s) going on trip I prefer to room with in the lodge
not required - singles welcome - trip leader will try to accomodate your request
Your answer
Do You Snore?
Clear selection
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