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Miramar Ski Club Winter Car Trip Reservation - February 19 to 23, 2018
Welcome!  Please fill this out when you are ready to sign up to go on the Presidents mid week car trip, 02/19 - 02/23/2018
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.

Trip Prices:
Guest - $
Miramar Member - $
Child Age 7 to 18 - $
Child Age 3 to 6 - $

The trip leader is Tom Fleming <[email protected]>
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Late cancellation fee $25 after February 16, 2018.  http://miramar.org/cancellation-policy/

For those needing a ride: Transportation is not guaranteed however we will work to connect riders with drivers.  You may need to travel locally in the NY City/NJ area to accommodate a pickup location.  You may need to adapt to the schedule of whoever you're getting a ride with. Above what is paid to Miramar for the trip, all passengers are expected to agree in advance with the car owner as to the contribution to be made toward fuel, tolls and other auto expenses.

Miramar Ski Club is a not for profit group 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: 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 *
When are you expecting to leave for Vermont and from which town, borough, or neighborhood?
Your answer
Return Date and Time *
When are you expecting to depart from Vermont at the end of the trip?
Your answer
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 a 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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