Two-Day Bus Trip – January 4-6, 2019 by Gail Reiken Tuzman | Dec 2, 2018 | Miramar Ski Club Winter Bus Trip Reservation - January 4 to 6, 2019Welcome! Please fill this out when you are ready to sign up to go on the weekend bus trip, 01/04-06/2019.In order for information to be registered you must click "Submit" at the end. Once you see the confirmation screen you'll be registered. 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 Richard Carey <[email protected]>Trip Prices: Guest - $310Miramar Member on bus - $250 or off bus - $170Child Age 7 to 18 on bus - $165 or off bus - $110Member child Age 3 to 6 off bus - $45____________________________________________SPECIAL TIME SENSITIVE OFFER FOR GUESTS ONLY: TWO WEEK ADVANCED PURCHASE EARLY BIRD SPECIAL!$30 off if you mail a check or money order to the trip leader, payable to Miramar Ski Club Inc, postmarked on or before December 21, 2018. Total reduced fee = $280Mail To: Richard Carey99 Joralemon St.#4EBrooklyn, NY 11201-This is only for guests traveling on the bus.-Offer is NOT available to current or previous Miramar members, nor children. -May not be combined with other discount offers.Payment must be by check or money order only and is non-refundable.____________________________________________Late cancellation fee $25 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: All 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+". 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 - off bus onlyChild age 7 to 17 - on busChild age 7 to 17 - off busYoung 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 - bus departure time & location *please arrive 30 minutes prior to departure4:30pm Long Island - LIE Exit 36 Searingtown Road - Christopher Morley Park Parking Lot5:45pm New York City - Manhattan - East side of 6th Ave (mid-block) between 23rd and 24th St6:30pm New Jersey - Route 17 NJ Transit Station - 1 Spring Street - Ramsey7:30pm Catskill NY - NY State Thruway, Exit 21 Park & RideCar - Members only - I am traveling by carCar - Guest - on non-bus trip onlyCar Child - Child traveling by carOther:Preferred Winter ActivitySelect 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:Clear selectionMeal 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 separate registration)Your answerName of person going on trip I prefer to sit next to on busnot required - singles welcomeYour 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 selectionAre 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.YesNoClear selectionNextNever submit passwords through Google Forms.This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy Forms