2024 Master of Public Health Alumni Event RSVP

First Name*

Last Name*

Preferred Nametag Name*

Preferred Email Address*

Class Year*

Preferred Telephone Number*

Address

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

Will you be bringing a guest(s)?*

Guest Information

Name of Guest #1

SOM Class Year (optional)

Does anyone in your party have any mobility restrictions?*

If yes, please briefly explain (please reference name of attendee)

Does anyone in your party have any allergies or dietary restrictions?*

If yes, please briefly explain (please reference name of attendee)