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FEBRUARY 2016 Event Registration Form Golden Opportunity Fax, Mail or deliver to: Golden Opportunity Ochsner Health Sys...

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FEBRUARY 2016 Event Registration Form Golden Opportunity

Fax, Mail or deliver to: Golden Opportunity Ochsner Health System 1000 Ochsner Boulevard Covington, LA 70433 985 875-2785 (fax) [email protected]

NAME: Address:

Phone: City, State, Zip:

Important Notes: 1. Please send in whole reservation form (do not cut strips). Extra forms will be available at group meetings or you can pick up a form in the GO office. 2. If you wish to register for an event requiring a fee, please check availability before submitting a check. Please note nonrefundable date noted on newsletter. 3. Be sure to have your emergency and health info with you for all events. 4. If an event requires payment by check please submit separate checks for events unless otherwise stated. 5. Ochsner GO has the

COFFEE WITH CHRISTIE: Wednesday, February 3 – 10.00 a.m. (Ochsner Health Center-Covington, 2nd floor training room) RSVP REQUIRED! □ attend □ will not attend COFFEE WITH CHRISTIE: Thursday, February 4 – 9:30 a.m. (Ochsner Medical Center-NORTH SHORE, 100 Medical Center Drive, Slidell, Camellia Room) RSVP REQUIRED! □ attend □ will not attend

NEW ORLEANS FAIRGROUNDS BUS TRIP: Friday, February 12 (Ochsner Health Center-Covington departure, Slidell pickup) RSVP REQUIRED! □ attend □ will not attend □ add to wait list

DINE AROUND at Warehouse 140 (Ponchatoula): Wednesday, February 17 - 11:30 a.m. RSVP REQUIRED! □ attend □ will not attend

LUNCH AND LEARN “Sugar Blues”: Thursday, February 25 - 11:30 a.m. to 1:00 p.m. (Ochsner Health Center-Covington) RSVP REQUIRED! □ attend □ will not attend