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Section 1 of 4
Form title
Miramar Ski Club Trip Reservation - <Month ## to ##, YYYY>
 
 
 
 
 
 
Form description
Welcome!  Please fill this out when you are ready to sign up to go on the <enter trip name here> Car Trip, <MM/DD - MM/DD/YYYY>
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.

Miramar Ski Club is a not for profit organization and will not share or distribute your personal information with any other outside group.
Email*
Valid email
 
 
I commit to going on the trip for the dates listed above
*
Question
I commit to going on the trip for the dates listed above
*
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Confirm that you have the correct dates and check box
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Yes
I need more information. Please have a club representative contact me. <you must fill out required fields on form and "Submit">
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Tripper Type
*
Question
Tripper Type
*
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Description
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+".
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Member - I am a Member of the Miramar Ski Club
Continue to next section
Guest 1 - I am new to Miramar Ski Club and have never been on a trip with the club before
Continue to next section
Guest 2 - This will be my second trip as a guest of Miramar Ski Club
Continue to next section
Guest 3 - This will be my third trip as a guest of Miramar Ski Club
Continue to next section
Guest 4+ - This may be my fourth or more trip as a guest of Miramar Ski Club
Continue to next section
Leader - I am the Trip Leader on this trip
Continue to next section
Staff - I am the Staff on this trip
Continue to next section
SIT - I am Staff in Training on this trip
Continue to next section
Child age 3 to 6 -
Continue to next section
Child age 7 to 17 -
Continue to next section
Young Adult age 18 to 25 - Full time student supported by member parents
Continue to next section
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First Name
*
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First Name
*
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Last Name
*
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Last Name
*
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Gender
*
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Gender
*
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Male
Female
Other…
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E-Mail Address
*
Question
E-Mail Address
*
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Daytime Phone
*
Question
Daytime Phone
*
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Evening Phone
*
Question
Evening Phone
*
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Mobile/Cell Phone
*
Question
Mobile/Cell Phone
*
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Name of Emergency Contact Person
*
Question
Name of Emergency Contact Person
*
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Phone number(s) of Emergency Contact Person
*
Question
Phone number(s) of Emergency Contact Person
*
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Transportation
*
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Transportation
*
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All passengers are expected to contribute to travel expenses
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I am driving
I've arranged for a ride
Need a ride both ways and can relief drive
Need a ride both ways
Need a ride to Vermont only and can relief drive
Need a ride to Vermont only
Need a ride back home only and can relief drive
Need a ride back home only
On bus-plane-train and renting car locally
On bus-plane-train need local ride
Other…
Other…
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Number of riders I can take
*
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Number of riders I can take
*
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If not driving enter 0
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0
1
2
3
4
5
6
Other…
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Departure Date, Time, and Location
*
Question
Departure Date, Time, and Location
*
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For both riders and drivers: When are you expecting to leave for Vermont and from which town, borough, or neighborhood?
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Return Date, Time
*
Question
Return Date, Time
*
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When are you expecting to depart from Vermont at the end of the trip?
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Preferred Activities
*
Question
Preferred Activities
*
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Description
You may change your mind at any time.
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Caption
Hiking
Biking
Running
Swimming
Canoeing - Rowing - Kayaking
Shopping
Other…
Other…
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Select at most
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Meal Preference
*
Question
Meal Preference
*
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Description
There are no special meal requests beyond these choices.  Once selected you may not change.
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Regular
Non-Red Meat
Vegetarian
Other…
Add option
or
add "Other"
 
 
 
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If there are other persons coming with you enter names here
*
Question
If there are other persons coming with you enter names here
*
Question Type
 
 
 
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Description
not required - List names of couples / families / group of friends if applicable (each person going is required to complete separate registration)
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Name(s) of person(s) going on trip I prefer to room with in the lodge
*
Question
Name(s) of person(s) going on trip I prefer to room with in the lodge
*
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not required - singles welcome - trip leader will try to accomodate your request
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Do you snore?
*
Question
Do you snore?
*
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Yes
No
Occasionally
Other…
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Section 2 of 4
Section title (optional)
Trip Reservation - Miramar Member Only Info
 
 
 
 
 
 
Description (optional)
This page should be used by Miramar Ski Club Members only.  
Guests, AMC Members who aren't Miramar Members, and others should click "back" at the bottom page and re-answer "Tripper Type" .
 
 
How many off trip nights will you stay?
*
Question
How many off trip nights will you stay?
*
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Regular Members may stay at the lodge 'off trip' @ $25 per night. Complete this trip registration and then fill out the form at www.miramar.org / 'members' menu / Off-Trip Lodge Reservations. Questions? Virginia Hunt, [email protected]
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Caption
0
1
2
3
4
5
6
Other…
Other…
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Membership Type
*
Question
Membership Type
*
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Description
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Regular
Associate
Golden
Limited
Platinum
Dues Due - I am a Member - but my dues are not paid up to date
Other…
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Special Consideration / Priority
*
Question
Special Consideration / Priority
*
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Date
 
 
 
Time
Description
Pick lowest number item that applies to you. Cutoff time is 10 days prior to departure.
Loading image…
 
 
 
Caption
1 Member already staying in lodge on vacation
2a Bumped from previous trip
2b Executive Committee & Board of Trustees
2c Winter and Summer Trip Committee
2d Outstanding Service Group
2e Attended Work Weekend this calendar year
2f Category 1 or 2 but made a late cancellation in the previous 2 weeks
2g Member reserving by cutoff date/time & was in dorm on last trip
3 Member reserving by cutoff date/time
4 Member reserving after cutoff date/time
Other…
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Preferred Room
*
Question
Preferred Room
*
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Time
Description
This helps the trip leader assign rooms.  This is a request, selection subject to availability.  Club volunteers get priority.
Loading image…
 
 
 
Caption
A
B
C
D
E
F (driver)
G
H
I
J
K
L
M
N
O
P
Q
R
S
Hilltop
Riverview
Quiet Room
Other…
Add option
or
add "Other"
Select at least
Select at most
Select exactly
Number
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Section 3 of 4
Section title (optional)
Trip Reservation - Guest Information
 
 
 
 
 
 
Description (optional)
 
 
If you are new to Miramar Ski Club how did you find out about us?
*
Question
If you are new to Miramar Ski Club how did you find out about us?
*
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Description
This question is for guests only.
Loading image…
 
 
 
Caption
Internet search
Miramar Website
Facebook
Twitter
Meetup
A friend
A family member
Word of mouth
Print ad
Flyer
Brochure
Ski/Snowboard Show
Appalachian Mountain Club
The Metropolitan New York Ski Council
The New Jersey Ski & Snowboard Council
Newspaper Article
TV or Radio
Other…
Other…
Add option
or
add "Other"
Select at least
Select at most
Select exactly
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Section 4 of 4
Section title (optional)
Final Submission
 
 
 
 
 
 
Description (optional)
Click "Submit" to finalize your trip reservation.

When you see a confirmation screen your request has been entered.

To complete your reservation non-member guests need to make a deposit prior to the trip.  You may pay by PayPal. At PayPal.com and make a payment of $50 to "[email protected]".   When submitting please make note of which trip it's for.  
Alternately mail a personal check for $50, payable to "Miramar Ski Club, Inc.", to the trip leader:
<Enter Trip Leader Name Here>
<Enter Trip Leader Address Line 1 Here>
<Enter Trip Leader Address Line 2 Here>
<Enter Trip Leader Address Line 3 Here>

Miramar members do not need to send money in advance.


 
 
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or questions for volunteer trip leader. Please keep brief, otherwise use email.
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I commit to going on the trip for the dates listed above
 
 
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Tripper Type
 
 
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First Name
 
 
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Last Name
 
 
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Gender
 
 
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E-Mail Address
 
 
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Daytime Phone
 
 
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Evening Phone
 
 
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Mobile/Cell Phone
 
 
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Name of Emergency Contact Person
 
 
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Phone number(s) of Emergency Contact Person
 
 
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Transportation
 
 
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Number of riders I can take
 
 
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Departure Date, Time, and Location
 
 
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Return Date, Time
 
 
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Preferred Activities
 
 
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Meal Preference
 
 
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If there are other persons coming with you enter names here
 
 
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Name(s) of person(s) going on trip I prefer to room with in the lodge
 
 
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Do you snore?
 
 
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Trip Reservation - Miramar Member Only Info
How many off trip nights will you stay?
 
 
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Membership Type
 
 
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Special Consideration / Priority
 
 
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Preferred Room
 
 
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Trip Reservation - Guest Information
If you are new to Miramar Ski Club how did you find out about us?
 
 
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Final Submission
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Your reservation request for the Miramar Ski Club Trip has been recorded. An automated confirmation e-mail should arrive in you inbox shortly. Review it for accuracy and then click on the link for chore sign up. To complete your reservation non-member guests need to make a deposit prior to the trip. Go to www.paypal.com and direct a payment of $50 to "[email protected]". When submitting please make note of which trip it's for. Alternately mail a personal check for $50, payable to "Miramar Ski Club, Inc.", to the trip leader: <Enter Trip Leader Name Here> <Enter Trip Leader Address Line 1 Here> <Enter Trip Leader Address Line 2 Here> <Enter Trip Leader Address Line 3 Here> Miramar members do not need to send money in advance. If you are not a member please review, print out, sign, and give this waiver form to the trip leader upon arrival: https://docs.google.com/document/d/1kMwTwO92A5JPR1WX1hpQca_1oWDfWJ2ML5d-OICf6P0/edit?usp=sharing Transportation is not guaranteed. The trip leader will make an effort to connect riders with drivers. Space is sometimes limited. You will be notified if the trip has filled up. Guests can expect follow up communication from the trip leader(s). Cancellation Policy: Guest deposit will be refunded up to <enter date [MM/DD] 10 days prior to trip start> Members are assessed a $50 late fee when canceling after <enter date [MM/DD] 03 days prior to trip start> If a ride is requested and the club is unable to provide a driver, the guest’s deposit will be returned without penalty. Keep in mind however that the passenger may be required to travel locally to get to the ride pickup location. Visit www.Miramar.org for more information.
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