Williston Northampton Alumni Campus Visitor Form

Name(Required)

First Last

Guest name, if applicable

First Last

Email(Required)

Purpose of visit(Required)

Date of visit(Required)

For the safety of our campus community and guests, all visitors to campus, including parents and siblings, must be fully vaccinated. Please check the box to confirm your COVID-19 vaccination status:(Required)

Yes, I am fully vaccinated against COVID-19. All visitors to campus must follow the latest CDC recommendation and wear a N95 mask, KN95 mask, or KF94 mask, or double-mask using two surgical masks or a surgical and cloth mask while indoors and carry proof of vaccination (vaccine card, photocopy, or photo on your phone) with you while on campus.

If bringing a guest with you to campus, please check the box to confirm your guest is vaccinated against COVID-19.(Required)

Yes, my guest is fully vaccinated against COVID-19. All visitors to campus must follow the latest CDC recommendation and wear a N95 mask, KN95 mask, or KF94 mask, or double-mask using two surgical masks or a surgical and cloth mask while indoors and carry proof of vaccination (vaccine card, photocopy, or photo on your phone) with them while on campus.

All visitors to campus must be fully vaccinated, must wear a N95 mask, KN95 mask, or KF94 mask, or double-mask using two surgical masks or a surgical and cloth mask (following the latest CDC recommendation) while indoors and carry proof of having the COVID-19 vaccination with them (vaccine card, photocopy, or photograph on your phone). You will be asked to provide this information.