July 4th Mid-week Car Trip – July 3-6, 2018 by Gail Tuzman | May 24, 2018 JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.Miramar Ski Club Trip Reservation - July 3 to July 6, 2018Welcome! Please fill this out when you are ready to sign up to go on the Fourth of July Car Trip, 07/03 - 07/06/2018, with extended trip option up to 07/08/2018.In order for information to be registered you must click "Submit" at the end.Be sure to answer all questions. Once you see the confirmation screen you'll be registered. If you are a couple, family, or group you must complete and submit a separate entry for each person.Trip Prices - July 3 to July 6: Member or Guest $230Junior Age 3-6 $60Junior Age 7-18 $150Price includes: 3 nights lodging, 3 breakfasts, 2 dinners and 2 nightly cocktail parties.Trip can be extended to July 7 and/or July 8 (only meals provided will be continental breakfast) @ $32 per night for members, $37 per night for guests, $21 per night for juniors.Miramar Ski Club is a not for profit organization and will not share or distribute your personal information with any other outside group.Sign in to Google to save your progress. Learn more* 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 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 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 -Child age 7 to 17 -Young Adult age 18 to 25 - Full time student supported by member parentsFirst Name *Your answerLast Name *Your answerGender *MaleFemaleE-Mail AddressYour answerDaytime Phone *Your answerEvening Phone *Your answerMobile/Cell PhoneYour answerName of Emergency Contact PersonYour answerPhone number(s) of Emergency Contact PersonYour answerTransportation *All passengers are expected to contribute to travel expensesI am drivingI've arranged for a rideNeed a ride both ways and can relief driveNeed a ride both waysNeed a ride to Vermont only and can relief driveNeed a ride to Vermont onlyNeed a ride back home only and can relief driveNeed a ride back home onlyOn bus-plane-train and renting car locallyOn bus-plane-train need local rideOther:Number of riders I can take *If not driving enter 00123456Departure Date, Time, and LocationFor both riders and drivers: When are you expecting to leave for Vermont and from which town, borough, or neighborhood?Your answerReturn Date, TimeWhen are you expecting to depart from Vermont at the end of the trip?Your answerPreferred Activities *You may change your mind at any time. HikingBikingRunningSwimmingCanoeing - Rowing - Kayaking ShoppingOther:RequiredMeal 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(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?YesNoOccasionallyNextClear formNever submit passwords through Google Forms.This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy Forms