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Miramar Ski Club Trip Reservation - July 3 to July 6, 2018
Welcome! 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 $230
Junior Age 3-6 $60
Junior Age 7-18 $150
Price 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.
* 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 *
All passengers are expected to contribute to travel expenses
Number of riders I can take *
If not driving enter 0
Departure Date, Time, and Location
For both riders and drivers: When are you expecting to leave for Vermont and from which town, borough, or neighborhood?
Your answer
Return Date, Time
When are you expecting to depart from Vermont at the end of the trip?
Your answer
Preferred Activities *
You may change your mind at any time.
Required
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(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?
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