OMC Jeff Hwy 2016 September Event Registration Form

Golden Opportunity September 2016 Event Registration Form Mail or bring to: Golden Opportunity 1401 Jefferson Highway N...

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Golden Opportunity

September 2016 Event Registration Form 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. 2.

3.

4.

Please send in the Event Registration Form with your payment. All prices are listed are per person. If you register to attend an event, please note that all events will be NONREFUNDABLE (includes the ($5) Ochsner bus fee). If someone is on the waiting list, and you contact the office in advance of the event. We’ll make every effort to have that person’s payment reimbursed 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”!

September 2nd (Friday): Lunch Bunch - “Gumbo Shop” – French Quarter Lunch “on your own” $5.00 per person (Ochsner Bus Fee) Departure: 10:30 a.m. – GO Office (Center for Primary Care & Wellness Building) □ attend □ will not attend September 6th (Tuesday): Members’ Monthly Meeting 10:00 a.m. – 11:30 a.m. – Brent House – Caldwell & LeJeune Rooms Light refreshments provided! □ attend □ will not attend September 8th (Thursday): Seminar - “Pain Management” Presented by: Lesley Walsh, MD – Pain Management 10:00 a.m. – 11:30 a.m. – Center for Primary Care & Wellness - Camellia Room Light refreshments provided! □ attend □ will not attend September 9, 10 & 11 (Friday – Sunday): Natchez, MS Weekend Getaway $279.00 p.p. (Double) - $435.00 p.p. (Single) (Includes Natchez Grand Hotel (2 nights including breakfasts), motorcoach transportation & lunch @ The Dinner Bell Restaurant, all other meals are “on your own”) Departure: 7:00 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 September 13th (Tuesday): 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

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September 2016 Event Registration Form Golden Opportunity NAME:

Home Phone: ___________________________ Cell Phone: _____________________________

Address:

City, State, Zip:

September 14th (Wednesday): “Laughter Wellness” – Healthy Exercise to Beat Stress and Maintain a Positive Attitude in Challenging Times”

Presented by: Judy Newman, Laughter Yoga Instructor, Elwood Fitness Center 10:00 a.m. – 11:30 a.m. – Center for Primary Care & Wellness - Camellia Room Light refreshments provided! □ attend □ will not attend September 16th (Friday): Rivertown Theatre ▪ “Let the Good Times Roll” (Sequel to “Under the Boardwalk”) (16 Tickets Available) $45.00 per person (Includes ticket price & $5.00 Ochsner bus fee) Early Dinner: Bistro Orleans “On Your Own” Departure: 5.00 p.m. – GO Office (Center for Primary Care & Wellness Building) □ attend □ will not attend September 22nd (Thursday): Seminar - “Skin Care” Presented by: Julie Martin, MD - Dermatology 10:00 a.m. – 11:30 a.m. – Center for Primary Care & Wellness - Camellia Room Light refreshments provided! □ attend □ will not attend September 22nd (Thursday): Saenger Theatre ▪ “Sound of Music” (Waiting List Only) $94.00 per person (Includes ticket price & $5.00 Ochsner bus fee) Early Dinner: Café B - $41.00 per person Departure: 4:30 p.m. – GO Office (Center for Primary Care & Wellness Building) □ attend □ will not attend September 23rd (Friday): Prejean’s Restaurant & Martin Accordions Tour (& Cajun Music) $65.00 per person (Includes lunch, tour & motorcoach transportation) Departure: 7:30 a.m. – Center for Primary Care & Wellness Building Departure: 8:00 a.m. – Kenner Regional (180 W. Esplanade Ave) Departure: 8:30 a.m. – Ochsner River Parish Hospital (500 Rue de Santé, LaPlace) Return: 5:00 p.m. - Ochsner River Parish Hospital (500 Rue de Santé, LaPlace) Return: 5:30 p.m. – Kenner Regional (180 W. Esplanade Ave) Departure: 6:00 p.m. – Center for Primary Care & Wellness Building □ attend □ will not attend All GO events are subject to change. Ochsner Golden Opportunity has the right to adjust events without formal notice. All events are non-refundable (includes the $5.00 Ochsner bus fee). If there is someone on the waiting list to take your place, that person will make their check payable to you and the check will be mailed to you via Golden Opportunity. Golden Opportunity has to guarantee payment to vendors for most events.

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