Two-Day Bus Trip – January 4-6, 2019

by | Dec 2, 2018

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Miramar Ski Club Winter Bus Trip Reservation - January 4 to 6, 2019
Welcome! 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 - $310
Miramar Member on bus - $250  or off bus - $170
Child Age 7 to 18 on bus - $165 or off bus - $110
Member 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 = $280
Mail To:
Richard Carey
99 Joralemon St.
#4E
Brooklyn, 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.
Sign in to Google to save your progress. Learn more
* Required
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: 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+".
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.
Clear selection
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
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms