Presidents mid week car trip – 2/18-22/2019 by Gail Reiken Tuzman | Dec 19, 2018 | Miramar Ski Club Winter Car Trip Reservation - February 18 to 22, 2019Welcome! Please fill this out when you are ready to sign up to go on the Presidents mid week car trip, 02/18 - 02/22/2019.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.Your volunteer trip leader for this trip is Tom Fleming <[email protected]>Reduced Trip Prices (4 nights lodging only):Guest - $120Miramar Member - $100Child - $65IMPORTANT NOTICE OF CHANGE TO THIS TRIP: MEALS, BEVERAGES, BAR, AND HOUSEKEEPING SERVICE WILL NOT BE PROVIDED. GUESTS WILL MAKE UP THEIR OWN ROOM BEFORE DEPARTING. THERE WILL BE SOME COOPERATIVE GROCERY SHOPPING, COOKING, CLEANING AND DISH-WASHING.__________________________________________Late cancellation fee $50 http://miramar.org/cancellation-policy/Miramar Ski Club is a not for profit group and will not share or distribute your personal information with any other outside group.* 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 winter 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 winter 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 Address *Your 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'm driving or have 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 onlyGoing up on previous bus trip and returning on following bus tripOther:Number of riders I can take *If not driving enter 001 without skis/snowboard1 with skis/snowboard2 without skis/snowboard2 with skis/snowboard3 without skis/snowboard3 with skis/snowboard4 without skis/snowboard4 with skis/snowboardOther:Departure Date Time and Location *When are you expecting to leave for Vermont and from which town, borough, or neighborhood?Your answerReturn Date and Time *When are you expecting to depart from Vermont at the end of the trip?Your answerPreferred 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 SkiingSnowboardingCross-Country SkiingSnowshoeingOther:Meal Preference *Sorry no special meal requests beyond these three 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 a 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?YesNoOccasionallyClear selectionNextNever submit passwords through Google Forms.This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy Forms