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

Yes

I 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 Club

Guest 1 - I am new to Miramar Ski Club and have never been on a winter trip with the club before

Guest 2 - This will be my second trip as a guest of Miramar Ski Club

Guest 3 - This will be my third trip as a guest of Miramar Ski Club

Guest 4+ - This may be my fourth or more winter trip as a guest of Miramar Ski Club

Leader - I am the Trip Leader on this trip

Staff - I am the Staff on this trip

SIT - I am Staff in Training on this trip

Child age 3 to 6 - Must be accompanied by Miramar member going off bus

Child age 7 to 17 - Must be accompanied by Miramar member

Child age 7 to 17 off bus - Must be accompanied by Miramar member going off bus

Young Adult age 18 to 25 - Full time student supported by member parents

First Name *

Your answer

Last Name *

Your answer

Gender *

Male

Female

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

5:00pm Long Island - LIE Exit 36 Searingtown Road - Christopher Morley Park Parking Lot

6:15pm New York City - Manhattan - East side of 6th Ave (mid-block) between 23rd and 24th St

7:00pm New Jersey - Route 17 NJ Transit Station - 1 Spring Street - Ramsey

Car - Members only - I am traveling by car

Car Child - Member Child only traveling by car

Other:

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 Skiing

Snowboarding

Cross-Country Skiing

Snowshoeing

Other:

Meal Preference *

There are no special meal requests beyond these choices. Once selected you may not change.

Regular

Non-Red Meat

Vegetarian

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?

Yes

Occasionally

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