Head's Visiting Council Fall 2021 Meeting

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Please complete this form by September 15 so that we may plan for your arrival to campus.

Name(Required)

First Last

Email(Required)

11:30 a.m. Lunch(Required)

I would like a complimentary box lunch

I will bring my own lunch

6:30 p.m. Dinner at The Boylston Room (off-campus)(Required)

I plan to attend

I am unable to attend

Meal choice(Required)

Chicken Piccata

Tenderloin of Beef

Vegan Stuffed Portabella

Will you be bringing a spouse, guest, or significant other to dinner?(Required)

Yes

No

Guest name(Required)

First Last

Guest meal choice(Required)

Chicken Piccata

Tenderloin of Beef

Vegan Stuffed Portabella

12 p.m. Lunch(Required)

I plan to attend

I am unable to attend

Please indicate any dietary restrictions or food allergies:

Do you and/or your guest require accessibility accommodations?

Yes

No

If yes, please contact Debbie Davis, Executive Assistant for Advancement at 413-529-3074.

Questions? Please contact Laurie Cormier, Director of Advancement at 413-529-3305 or lcormier@williston.com.

19 Payson Avenue Easthampton, MA 01027