Hall of Fame Team - Williston

Athletic Hall of Fame - Team Inductee Information

Congratulations on your upcoming induction into the Williston Northampton School Alumni Athletic Hall of Fame as part of a team! Please fill out the following information form. (Note: Your teammates will also receive this form, so you only need to fill it out for yourself.)

Name*
First Birth Name Last
Preferred pronouns
How would you like your name to appear in the program and on printed on your award?*
Class Year*
If faculty, note as N/A
Will you attend the Athletic Hall of Fame induction ceremony during Reunion weekend?*
- Yes
- No
Number of guests*
Please list the names of all guests attending the ceremony with you.
Will you attend other Reunion activities and have, or plan to, register*
- Yes
- No
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do you have a seasonal address?*
- Yes
- No
Dates of Seasonal Address
Seasonal Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Cell Phone*
Home Phone
Email*