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December 2015 Event Registration Form Golden Opportunity Mail or bring to: Golden Opportunity 1401 Jefferson Highway Ne...

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December 2015 Event Registration Form Golden Opportunity

Mail or bring to: Golden Opportunity 1401 Jefferson Highway New Orleans, LA 70121 504-842-7000

NAME:

Home Phone: ___________________________ Cell Phone: _____________________________

Address:

City, State, Zip:

Important Notes: Effectively Immediately 1. Please send in the Event Reservation Form with your payment. All prices are listed are per person. 2. If you register to attend an event on the registration form please note that all events will be NONREFUNDABLE (includes the ($5) NONREFUNDABLE transportation fee). If someone is on the waiting list, we’ll request have that person make the check payable to you. A credit will no longer be issued. 3. If an event requires payment by check, submit separate checks for each event unless you are paying for more than one person for the same event. Please put the event name on the bottom of the check as some events have the same cost. Please SIGN your check. 4. When attending “LUNCH BUNCH” please be prepared that this event will not return to the Primary Care & Wellness Center until event is over (approximately 2:30 p.m.). Please do not sign-up for this event if you have “Schedule Conflicts”!

December 2nd (Wednesday): Saenger Theatre ▪ “Newsies” (1 ticket available) $84.00 per person (Includes ticket cost & $5.00 Ochsner bus fee) Early Dinner: Bistro Orleans – 3216 W. Esplanade - “On your Own” Departure: 4:00 p.m. – GO Office (Center for Primary Care & Wellness Building) □ attend □ will not attend December 4th (Friday): Lunch Bunch “Zydeco’s Restaurant” – Boutte, LA “On Your Own” - $5.00 Ochsner Bus Fee Departure: 10:00 a.m. – (Center for Primary Care & Wellness Building) □ attend □ will not attend December 7th (Monday): Monthly Members’ Meeting 10:00 a.m. – 11:30 a.m. – Brent House – Caldwell & LeJeune Rooms Light refreshments provided! □ attend □ will not attend December 8th (Tuesday): “Christmas Luncheon @ Ormond Plantation” (Waiting List Only) Please bring a child’s gift (unwrapped), the U. S. Marines will be present to accept your donation to “Toys for Tots”. 1st Departure: 9:45 a.m. – (Center for Primary Care & Wellness Building) Return: 3:00 p.m. - (Center for Primary Care & Wellness Building) 2nd Departure: 10:15 a.m. – (Ochsner Kenner Medical Center – corner of Loyola Dr. & W. Esplanade Ave) Please RSVP if you will be departing from Kenner Return: 3:30 p.m. - (Ochsner Kenner Medical Center – corner of Loyola Dr. & W. Esplanade Ave)

December 2015 Event Registration Form Golden Opportunity

NAME:

Home Phone: ___________________________ Cell Phone: _____________________________

Address:

City, State, Zip: _________________________

December 13th (Sunday) – 18th (Friday): Christmas @ Biltmore Estate (Waiting List Only) Meeting for those registered will be Monday, November 30th, 10 a.m. – 12 Noon, Center for Primary Care & Wellness. Travel documents will be distributed at the meeting. December 18th (Friday): Lunch Bunch “Grand Isle Restaurant” – 575 Convention Ctr. Blvd. “On Your Own” - $5.00 Ochsner Bus Fee Departure: 10:30 a.m. – (Center for Primary Care & Wellness Building) □ attend □ will not attend December 24th (Thursday) & December 25th (Friday): Office Closed for Christmas Holiday. December 28th (Monday): “Your Quality of Hearing Affects Your Quality of Life!” Presented by: Katharine Williams, AuD 10:00 a.m. – 11:30 a.m. – Brent House –LeJeune Room Light refreshments provided! □ attend □ will not attend December 31th (Thursday): “GO” New Year’s Eve Potluck (Bring a dish, dress for the event and celebrate the upcoming New Year!) 10:00 a.m. – 12:30 p.m. - Brent House – Caldwell & LeJeune Room (can accommodate 80 participants) □ attend □ will not attend December 31st (Thursday) and January 1st (Friday): Office Closed for New Year Holiday. Registration for December Events November 16st (Monday): If unable to attend, mail in your Event Registration Form and a separate check for each event payable to “Golden Opportunity” 9:00 a.m. – 1:00 p.m. – GO Office – (Center for Primary Care & Wellness) 2