Medical Reunion 2014 Registration Form

Whether you join us for the entire weekend or for selected events, Reunion 2014 promises to be a memorable experience. The John N. Evans Conference Room (HSRF 200) in the Health Science Research Facility serves as registration headquarters and should be your first stop to pick up your registration packet, which includes name tags, a campus map, weekend schedule, and a reunion tote bag.

Step 1
  (* = required field)
Selection Qty Price Subtotal
FRIDAY, JUNE 6, 2014
12:00 noon
Class of 1964 Only
50th Reunion Lunch
Private Sim Lab Tour
$15.00  
2:00 pm
Sim Lab Tour
$0.00  
2:00 pm
Tour of College
$0.00  
3:00 pm
Sim Lab Tour
$0.00  
3:00 pm
Tour of College
$0.00  
4:00 pm
Tour of College
$0.00  
5:00 pm
Celebration of Achievements/Award Ceremony
$0.00  
6:15 pm
Welcome Reception - All Classes (hors d′oeuvres)
$0.00  
SATURDAY, JUNE 7, 2014
8:30-10:30 am
Continental Breakfast
$0.00  
9:00 am
Tour of College
$0.00  
9:30-12:00 noon
Microscopic Explorations
$0.00  
10:00 am
Tour of College
$0.00  
11:00 am-Noon
Medical Education Today
$0.00  
12:15-2:15 pm
Medical Alumni Picnic

(Adult Price)
$20.00  

Picnic: Child Price

$12.00  
1:30 pm
Sim Lab Tour
$0.00  
1:30 pm
Tour of College
$0.00  
2:00 pm
Hospital Tour
$0.00  
2:30 pm
Tour of College
$0.00  
2:30 pm
Sim Lab Tour
$0.00  
2:45-3:45 pm
Nostalgia Hour
$0.00  
3:30 pm
Sim Lab Tour
$0.00  

Class Dinners

Please enter the number of adults attending. Child tickets can be indicated below.
7:00-10:00pm

1959, 1954, & 1949 Dinner

(Adult Price)
$60.00  
7:00-10:00pm

1964
50th Golden Reunion Dinner

(Adult Price)
$60.00  
7:00-10:00pm

1969 Dinner

(Adult Price)
$60.00  
7:00-10pm

1974 Dinner

(Adult Price)
$60.00  
7:00-10:00pm

1979 Dinner

(Adult Price)
$60.00  
7:00-10pm

1984 Dinner

(Adult Price)
$60.00  
7:00-10pm

1989 Dinner

(Adult Price)
$60.00  
7:00-10:00pm

1994 Dinner

(Adult Price)
$60.00  
7:00-10pm

1999 Dinner

(Adult Price)
$60.00  

Class Dinner: Child Price

$15.00  
SPECIAL INVITATION EVENTS (by invitation only)
5:00 pm, Saturday
Ira Allen & Wilbur Societies Donor Reception
$0.00  
10:00 am-12:00 noon, Sunday
Celebration Brunch
$0.00  
Registration Fee 1 $35.00   $35.00    

Reunion Class Gift

(To benefit the UVM College of Medicine Fund)
  Total 
CREDIT CARD INFORMATION (* = required field)
First Name
Middle Name
Last Name
UVM Class Year/Affiliation
Billing Address
City
State
Zipcode
Daytime Phone
 Is the number above your:


Email Address
 Is the email above your:

Guest Name(s)
(and UVM affiliation, if applicable)
Your Medical Specialty

If 'other,' enter specialty here:
Please let us know if you are in need of special assistance due to mobility issues:
Please indicate if you have any dietary
needs for your class dinner:

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