Mt Orford Quebec Winter Weekend Registration

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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 *

Name *

Phone Number (Cell) *

Is this your first AMC Mt Orford Trip? *

Yes

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.

Cross country skiing

Downhill skiing

Snowshoeing

Ice skating

Fat biking

Nordic Spa

Local Discovery Tour

Required

Carpool Status *

Departure Location and Time *

e.g. Somerville, Friday 4pm (you will be able to update this as the trip gets closer)

Carpool Comments

e.g. How many passengers do you have room for, where you could meet your carpool, etc.

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.

What is your gender?

Male

Female

Gender neutral / gender fluid

Prefer not to say

Other:

Clear selection

Diet

Please check all that apply

Vegetarian

Vegan

Gluten-free

Allergies

Medical Conditions *

List any medical conditions that the leaders should be aware of.

Emergency Contact Name *

Name of someone to contact if there is an emergency involving you on this trip.

Emergency Contact Phone *

Phone number where your emergency contact can be reached.

Are you a current AMC member? *

Membership encouraged but not required. Info needed for liability purposes.

Yes

What is your AMC Member Number?

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