May 2016 Event Registration Form Mail or bring to: Golden Opportunity
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. 2.
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Please send in the Event Reservation Form with your payment. All prices are listed are per person. 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. 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. 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”! th
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May 4 (Wednesday): Lunch Bunch - “LePavillon – Crystal Room” (1 Day) $30.00 per person (Includes Lunch Buffet & Ochsner Bus Fee) Departure: 10:30 a.m. – GO Office (Center for Primary Care & Wellness Building) □ attend □ will not attend th
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May 5 (Thursday): Lunch Bunch - “LePavillon – Crystal Room” (2 Day) $30.00 per person (Includes Lunch Buffet & Ochsner Bus Fee) Departure: 10:30 a.m. – GO Office (Center for Primary Care & Wellness Building) □ attend □ will not attend th
May 6 (Friday): Rivertown Theatre ▪ “How to Succeed in Business” – 14 tickets available $43.00 per person (Includes ticket price & $5.00 Ochsner bus fee) Early Dinner: To be determined at a later date Departure: 4:30 p.m. – GO Office (Center for Primary Care & Wellness Building) □ attend □ will not attend th
May 11 (Wednesday): Members’ Monthly Potluck (Bring a prepared or purchased food and socialize with other members) 12:00 p.m. – 1:30 p.m. - Brent House – LeJeune Room □ attend □ will not attend th
May 13 (Friday): Members’ Monthly Meeting 10:00 a.m. – 11:30 a.m. – Brent House – Caldwell & LeJeune Rooms Light refreshments provided! □ attend □ will not attend th
May 18 (Wednesday): Seminar - “Aging & Depression” Presented by: Helen Stavros, PhD, Psychiatry 10:00 a.m. – 11:30 a.m. – Center for Primary Care & Wellness - Camellia Room Light refreshments provided! □ attend □ will not attend
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May 2016 Event Registration Form Golden Opportunity NAME:
Home Phone: ___________________________ Cell Phone: _____________________________
Address:
City, State, Zip: _________________________ th
May 20 (Friday): Laura Plantation Tour & Lunch @ B & C Restaurant $50.00 per person (Includes plantation tour, lunch and motorcoach transportation) Departure: 8:00 a.m. – Return: 3:00 p.m. GO Office (Center for Primary Care & Wellness Building) □ attend □ will not attend th
May 26 (Thursday): Seminar - “Loss & Grief Coping Skills” Presented by: Marvin Clifford, PhD, Psychiatry 10:00 a.m. – 11:30 a.m. – Center for Primary Care & Wellness - Camellia Room Light refreshments provided! □ attend □ will not attend th
May 28 (Saturday): “Greek Festival” – Holy Trinity Greek Orthodox Church $5.00 p.p. (Ochsner Bus Fee) - Admission to the festival - $7.00 (“On your own” at the gate entrance). Departure: 10:00 a.m. - GO Office (Center for Primary Care & Wellness Building) □ attend □ will not attend
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April 13 (Wednesday): Event Registration - GO Office (Center for Primary Care & Wellness) If unable to attend, mail in your Event Registration Form and a separate check for each event payable to “Golden Opportunity” with the event name in the memo section of your check.
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