Employee Holiday Party
Quidnessett Country Club, North Kingstown
The date of this event is December 7, 2024.
Name
*
First Name
Last Name
Employee ID (Can be found on ADP)
*
Department
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Number of Employee Tickets (Cost $10)
*
Please Select
1
2
3
4
5
Number of Guest Tickets, if applicable (Cost $20)
Please Select
1
2
3
4
5
If anyone in your party has a food allergy and/or dietary restrictions, please note in the space provided:
By submitting this form, I authorize South County Health to deduct a one-time payroll deduction to cover the cost of these tickets. Please note: Employee Council will email a receipt for this transaction to the employee's SCH email address.
*
Yes, I authorize this.
Submit
Should be Empty: