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January 2016 Event Registration Form Golden Opportunity Mail or bring to: Golden Opportunity 1401 Jefferson Highway New...

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January 2016 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 that person make the check payable to you, send it to our office and we will forward the check 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”!

January 4th (Monday): Members’ Monthly Meeting 10:00 a.m. – 11:30 a.m. – Brent House – Caldwell & LeJeune Rooms Light refreshments provided! □ attend □ will not attend January 7th (Thursday): Members’ Monthly Potluck (Bring a dish and socialize with other members) 12:00 p.m. – 1:30 p.m. - Brent House – LeJeune Room □ attend □ will not attend January 15th (Friday): Lunch Bunch “Roux & Brew Restaurant & Antique Shopping in Ponchatoula” “On Your Own” - $5.00 Ochsner Bus Fee Departure: 10:00 a.m. – GO Office (Center for Primary Care & Wellness Building) □ attend □ will not attend January 19th (Tuesday): “Getting to Know Your Cell Phone - Frequently Asked Questions” Presented by: Braden Lemon – O Bar Specialist 10:00 a.m. – 11:30 a.m. – Center for Primary Care & Wellness - Camellia Room Light refreshments provided! □ attend □ will not attend

January 2016 Event Registration Form Golden Opportunity

NAME:

Home Phone: ___________________________ Cell Phone: _____________________________

Address:

City, State, Zip: _________________________

January 20th (Wednesday): Saenger Theatre ▪ “Motown” (Waiting List Only) $89.00 per person (Includes ticket price & $5.00 Ochsner bus fee) Early Dinner: Impastato’s Restaurant - $36.00 per person Departure: 4:00 p.m. – GO Office (Center for Primary Care & Wellness Building) □ attend □ will not attend January 21st (Thursday): “The Palace Casino Resort” – Biloxi, MS $15.00 Power Play per Member - Buffet Lunch $12.00 per person “On Your Own” (Earn 10 points -1/2 off price of buffet). $25.00 per person (includes Hotard Motorcoach Transportation) Departure: 8:30 a.m. – GO Office (Center for Primary Care & Wellness Building) Return: 5:00 p.m. – GO Office (Center for Primary Care & Wellness Building) □ attend □ will not attend January 22th (Friday): Saenger Theatre ▪ “Motown” (Waiting List Only) $89.00 per person (Includes ticket price & $5.00 Ochsner bus fee) Early Dinner: Impastato’s Restaurant - $36.00 per person Departure: 4:00 p.m. – GO Office (Center for Primary Care & Wellness Building) □ attend □ will not attend January 28th (Thursday): “What Are Your Five (5) Wishes?” Presented by: Barbara Metzinger, Spiritual Care, Education & Research 10:00 a.m. – 11:30 a.m. – Center for Primary Care & Wellness - Camellia Room Light refreshments provided! □ attend □ will not attend Registration for January Events December 10 (Thursday): 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) th

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