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Miramar Ski Club Winter Bus Trip Reservation - January 12 to 15, 2018
Welcome! Please fill this out when you are ready to sign up to go on the Martin Luther King Holiday Weekend 3 night bus trip, 01/12/18 to 01/15/18.
In order for information to be registered you must click "Submit" at the end. 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.

The volunteer trip leader for this trip is Linda Layburn <[email protected]>

Trip Prices:
Guest - $480
Miramar Member on bus - $390  or off bus - $265
Member child Age 7 to 18 on bus - $255 or off bus - $170
Member child Age 3 to 6 off bus - $70

-This is only for guests traveling on the bus.
-Offer is NOT available to current or previous Miramar members or kids.
-Payment must be by check or money order only and is non-refundable.

If you're not an early bird, non-member guests need to make a $50 deposit.  To send money via PayPal go to: .  
or you can mail a personal check for $50, payable to Miramar Ski Club, Inc., to Linda at the address above.

Late cancellation fee of $50 after Jan 1, 2018

Miramar Ski Club is a not for profit organization and will not share or distribute your personal information with any other outside group.
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* Indicates required question
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: IAll are welcome as guests. After three bus trips with Miramar guests may apply for 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 *
Sorry no special meal requests beyond these three 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
Are you the driver of a car that will be parked at the Long Island bus pickup?
Miramar collects a $2 fee per overnight for parking at LI, Christopher Morley Park only. Only one yes answer per car please.
Clear selection
Clear form
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