Retirement Reception
for Ann Pickrell & Greg Tuleja

Please register below for this complimentary event.

Name(Required)

First Last

Email(Required)

Cell phone

Home phone

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

Yes

Guest name

First Last

Cocktails & Hors d'oeuvres will be served. Please indicate any dietary restrictions or food allergies:

Do you require special mobility accommodations? Please describe:

For the safety of our campus community and guests, all event attendees must be fully vaccinated. Please check the box to confirm your COVID-19 vaccination.(Required)

Yes, I am fully vaccinated against COVID-19. You must carry proof of vaccination with you (vaccine card, photocopy, or photo on their phone). Masking is optional for vaccinated guests.

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

Yes, my guest is fully vaccinated against COVID-19. All guests must carry proof of vaccination with them (vaccine card, photocopy, or photo on their phone). Masks are optional for vaccinated guests.

Event Policy(Required)

All event attendees must be fully vaccinated, and carry proof of having the COVID-19 vaccination with them (vaccine card, photocopy, or photograph on your phone). You may be asked to provide this information at the event.

I acknowledge that I have read and understood the above current event policy in its entirety and agree to abide by it. Williston Northampton School's COVID-19 guidelines are subject to change based on local and state recommendations.

Would you like to make a gift to the Williston Northampton Fund in honor of Ann and/or Greg?(Required)

Yes

Gift amount

Gift in honor of/comments

Total

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card

Card Details

Cardholder Name

Retirement Reception for Ann Pickrell & Greg Tuleja

Retirement Reception
for Ann Pickrell & Greg Tuleja