Lodge Reservation Form |MJSC.org

Mid Jersey Ski & Snowboard Club

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Lodge Reservation and COVID Questionnaire

You must phone Mark Hritzik at 908-514-5308 to confirm your reservation and submit this completed form including answering ALL COVID Questions. Submit button is at bottom of the page.

Be considerate of your fellow skiers and notify Reservation Chairperson if you develop symptoms or test positive for Covid within 5 days after being at the lodge.

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ZELLE (732-267-5051)

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Do Not Fill Below Until 3 days or less prior to your reservation

How are you feeling today?

My temperature is lower than 100°F/ 37.8

I am not experiencing the symptoms: fever, cough, sore throat

I and my family members have not been in close contact with a Covid-19 patient in the last 10 days. If fully vaccinated AND boosted 5 days!

I Certify that I have reviewed the State of Vermont out-of-state traveler guidelines and health and safety requirements for traveling to, from, and within the State of Vermont. I further certify that I understand all travelers should stay home if ill (with any symptoms); maintain physical distance of at least 6’ from anyone outside their household; wear a N95, KN95 or surgical mask when in public spaces; and wash or sanitize hands often.

I agree to abide by the lodge Covid-19 rules

I declare that the info I’ve provided is accurate & complete

I accept terms & conditions

I will contact Lodge Chairperson if I contract Covid 19 within 5 days of being at the lodge

If any box is not checked then you cannot stay at the lodge.

Do Not Submit Until 3 days or less prior to your reservation

Thanks for submitting!

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Lodge Reservation and COVID Questionnaire

Do Not Fill Below Until 3 days or less prior to your reservation

If any box is not checked then you cannot stay at the lodge.

Do Not Submit Until 3 days or less prior to your reservation