Mt Orford Quebec Winter Weekend Registration - 20s and 30s
Welcome to the annual AMC Mt Orford winter weekend trip! Please register for the trip by filling out the form below. The trip begins Friday evening February 14 and ends on Monday February 17.
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.
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
If you have confirmed you are rooming with someone, write their name here
Otherwise we will attempt to select roommates based on the question below.
Your answer
What is your gender?
Please check all that apply
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
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy