Champlain College

Champlain College
Family Weekend


(*indicates required fields)

1
FIRST NAME* LAST NAME*
SPOUSE'S NAME STUDENT NAME*
ADDRESS* ADDRESS 2
CITY* STATE*       ZIP*
          
PHONE* E-MAIL*
Please help us plan by indicating the total number of family members including Champlain College students who will attend each event.
2
EVENT # ATTENDING
Total Number of People
Friday Night Reception No Charge
Brunch No Charge
Dinner Pay at the door ($9 per person)
5K Run/Walk No Charge
Registration Fee $25 per family
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163 South Willard St., Burlington, VT 05402, USA, 802-860-2700 / 800-570-5858