NY Parent RECP 11.7.24 – Deerfield Academy

New York Parent Reception – Registration

DC Moore Gallery

Thursday, November 7, 2024

6 – 8 pm

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Contact Information

Name*

First Last

Primary Deerfield Affiliation*

Other Affiliation

Class Year, if applicable

Email*

Daytime Telephone Number*

RSVP*

Do you have any food allergies or dietary restrictions?*

Please list all food allergies and dietary restrictions here:*

Please include any special conditions, or other requests or comments here.

Additional Guest?*

How many additional guests?*

Guest Name*

First Last

Guest Affiliation to Primary Registrant*

Other Affiliation*

Guest Class Year, if applicable

Does your guest have any food allergies or dietary restrictions?*

Please list all food allergies and dietary restrictions here:*

Does your guest have any special conditions, requests or comments?

Guest Name*

First Last

Guest Affiliation to Primary Registrant*

Other Affiliation*

Guest Class Year, if applicable

Does your guest have any food allergies or dietary restrictions?*

Please list all food allergies and dietary restrictions here:*

Does your guest have any special conditions, requests or comments?

Guest Name*

First Last

Guest Affiliation to Primary Registrant*

Other Affiliation*

Guest Class Year, if applicable

Does your guest have any food allergies or dietary restrictions?*

Please list all food allergies and dietary restrictions here:*

Does your guest have any special conditions, requests or comments?

Admission*

Minimum: 1. Maximum: 4.

Comments

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