OMC Jeff Hwy 2017 March Event Registration Form

March 2017 Event Registration Form Mail or bring to: Golden Opportunity 1401 Jefferson Highway New Orleans, LA 70121 504...

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March 2017 Event Registration Form Mail or bring to: Golden Opportunity 1401 Jefferson Highway New Orleans, LA 70121 504-842-7000

Golden Opportunity

NAME:

Home Phone: ___________________________ Cell Phone: _____________________________

Address:

City, State, Zip:

Credit cards are now being accepted for events (excludes events costing $5.00). Payments may be made in our office, or on our website https://ochsner.force.com 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 3:00 p.m.). Please do not sign-up for this event if you have “Schedule Conflicts”!

March 2nd: Members’ Potluck Lunch (Each participating member brings a dish to share during the event) 12:00 p.m. – 1:30 p.m. - Brent House – LeJeune Room □ attend □ will not attend March 3rd: Lunch Bunch “Press Street Station – NOCCA (New Orleans Center for Creative Arts)” (On Your Own) $5.00 per person (Ochsner Bus Fee) Departure: 10:15 a.m. – Ochsner Hospital River Road Entrance □ attend □ will not attend March 6th: Francis Xavier Seelos Shrine Tour (Free tour, donations accepted) $5.00 per person (Ochsner Bus Fee) Departure: 9:00 a.m. – Ochsner Hospital River Road Entrance □ attend □ will not attend March 7th: Seminar – Laughter Yoga Presented by: Julie Newman, Certified Laughter Yoga Teacher – Ochsner Fitness Center 10:00 a.m. – 11:30 a.m. – Center for Primary Care & Wellness - Camellia Room Light refreshments provided! □ attend □ will not attend March 8th: “Beautiful – The Carol King Musical” – Saenger Theatre $98.25 per person (Includes ticket price & $5.00 Ochsner bus fee) Early Dinner: To be determined later Departure: 4:15 p.m. – GO Office (Center for Primary Care & Wellness Building) □ attend □ will not attend

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March 2017 Event Registration Form Golden Opportunity March 10th: Members’ Monthly Meeting 10:00 a.m. – 11:30 a.m. – Brent House – Caldwell & LeJeune Rooms Light refreshments provided! □ attend □ will not attend March 10th: “Beautiful – The Carol King Musical” – Saenger Theatre $103.50 per person (Includes ticket price & $5.00 Ochsner bus fee) Early Dinner: To be determined later Departure: 4:15 p.m. – GO Office (Center for Primary Care & Wellness Building) □ attend □ will not attend March 10th: Jefferson Parish Expo – Pontchartrain Center, Williams Blvd. “On Your Own” March 14th: New Orleans Pelicans vs. Portland Trailblazers – Smoothie King Center $35.00 per person (price includes admission and Ochsner Bus fee) No game giveaway. Departure: 5:30 p.m. - Center for Primary Care & Wellness □ attend □ will not attend March 15th: WGNO Station Tour – Tour WGNO Station and possibly see a live broadcast $5.00 (Ochsner Bus Fee) Departure: 9:00 a.m. – Ochsner Hospital River Road Entrance □ attend □ will not attend March 18th – 24th: Savannah/Charleston Trip $824.00 (Double) $1388.00 (Single) Deposit $400.00 - Insurance purchased separately through NTA Travel Protection Plan Final Payment February 15, 2017 (Price includes 6 nights (2 nights - Fairfield Inn (Mariana, FL), 2 nights – Courtyard Marriott (Savannah, GA), 2 nights – Holiday Inn, Charleston Historic District (Charleston, SC) 6 breakfasts, an eTicket for Old Town Trolley Tours (Savannah), free trolley tour in Charleston & motorcoach transportation. □ attend □ will not attend Golden FIT (Functional Independence Training) – To improve your core balance and strength, along with your bone health. Free 12 week course (Tuesdays & Thursdays) beginning March 8, 2017. The class will be limited to 20, so register soon either through the Cloud or call our office, (504)842-7000. You must be able to attend all classes at Ochsner Heritage Plaza Fitness Center beginning @ 1:00 p.m. and ending @ 2:00 p.m., transportation will not be provided.

All GO events are subject to change. Ochsner Golden Opportunity has the right to adjust events without formal notice. Golden Opportunity has to guarantee payment to vendors for most events.

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