Mt Orford Quebec Winter Weekend Registration
Welcome to the annual AMC Mt Orford winter weekend trip! Please register for the trip by filling out the form below. Once your info is received, then we will email back directions on completing registration (payment). The trip begins Friday evening February 15 and ends on Monday February 18.
Email address *
Name *
Your answer
Phone Number (Cell) *
Your answer
Is this your first AMC Mt Orford Trip? *
Please check off each activity that you are interested in participating in during the weekend *
You are not commited to these activities of course, just helps us with trip planning.
Required
Carpool Status *
Departure Location and Time *
e.g. Somerville, Friday 4pm (you will be able to update this as the trip gets closer)
Your answer
Carpool Comments
e.g. How many passengers do you have room for, where you could meet your carpool, etc.
Your answer
Do you have a roommate preference? If so, who? (all rooms have two beds). *
Your answer
Diet
Describe BRIEFLY (it's dining hall food) any basic dietary requirements (vegetarian, gluten free etc)
Your answer
Medical Conditions *
List any medical conditions that the leaders should be aware of.
Your answer
Emergency Contact Name *
Name of someone to contact if there is an emergency involving you on this trip.
Your answer
Emergency Contact Phone *
Phone number where your emergency contact can be reached.
Your answer
Are you a current AMC member? *
Membership encouraged but not required. Info needed for liability purposes.
What is your AMC Member Number?
Your answer
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