GROUPS DATE REQUEST FORM
(Please submit this request at least 14 days prior to the visit date)
Email address *
Group Name *
Leader Name *
First & Last
Mailing Address *
City *
Zip Code *
Primary Phone *
Alternate Phone *
Please list a cell phone number for the day of your visit. Note: only Verizon customers have service at Dodge Ridge.
Trip Date *
(Holiday rates apply Dec 24-Jan 2, MLK Weekend Jan 14-16, Presidents Day+ Ski Week Feb 18-24)
MM
/
DD
/
YYYY
Alternate Trip Date (or Trip Date #2)
MM
/
DD
/
YYYY
Trip Date #3
MM
/
DD
/
YYYY
Trip Date #4
MM
/
DD
/
YYYY
Group Size *
(Approximately how many people in your group?)
Group Type *
Please list any additional comments, questions or requests here:
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