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Miramar Ski Club Winter Bus Trip Reservation - January 19 to 21, 2018
Welcome! Please fill this out when you are ready to sign up for the weekend bus trip, 01/19 to 01/21/2018.  The trip is close to fully subscribed.  The trip leader will confirm if you are on the trip.

Also note that there is still space available on the January 26 to 28 trip.  So for this other option sign up here:!event/2018/1/26/2-day-bus-trip-to-vermont
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 Ruth Yashpan <[email protected]>

Trip Prices:
Guest - $300
Miramar Member on bus - $240  or off bus - $160
Member child Age 7 to 18 on bus - $155 or off bus - $105
Member child Age 3 to 6 off bus - $40

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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