OLLI Spring 2025 FINAL - Flipbook - Page 36
SPRING 2025 REGISTRATION
ONE REGISTRATION FORM PER PERSON
Step #1: REGISTRANT INFO
Preferred First Name__________________________________
Last Name ____________________________________________
Address ______________________________________________
City _____________________ State _______ Zip ____________
Home Phone _________________________________________
Cell Phone ____________________________________________
Primary Number (check one)
Home
Cell
Email _________________________________________________
*By registering for programs we will automatically add
you to OLLI9s weekly email and the mailing list for our
quarterly catalog.
I am NEW to OLLI
I use the online brochure, I do not wish to receive
the quarterly printed brochure.
Step #4: PAYMENT INFORMATION
Spring Kick-Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Classes (1, 2, 3, or 4). . . . . . . . . . . . . .$30.00 x ____ = .
Lunches. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Originals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Study Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Learning Trips. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Osher Online . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OLLI Online . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OLLI Quarterly Membership Fee* . . . . . . . . . . . . . . .
TOTAL DUE =
*Paid only once in March, April, May
$
$
$
$
$
$
$
$
$
$
______ +
______ +
______ +
______ +
______ +
______ +
______ +
______ +
5.00 =
______
Payment Information
Check (Payable to Bradley University)
DO NOT SEND A CHECK with your initial registration. If
you prefer to pay by check, we will contact you via phone
or email with the amount owed after your registration has
been processed.
VISA MasterCard Discover American Express
Print name as it appears on card _________________________
Card Number __________________________Exp. Date ________
Signature _______________________________________________
Step #2: ADDITIONAL INFO (optional)
a) Are you a Bradley alum? Yes
b) Age range: (circle one)
50-59
60-69
70-79
80-89
No
90-99
100+
c) Can you suggest a place where we might put OLLI
brochures in the community? _______________________
d) Areas of expertise I could share with OLLI: ________
_______________________________________________________
e) I9m interested in volunteering for: (check all that apply)
Class instructor (topic __________________)
Study Group facilitator (topic _________________)
Class Curriculum Committee (choose classes)
Learning Trip Committee (choose trips)
Study Group Committee (choose study groups)
Sponsorship Committee
Volunteer Committee
Membership Development Committee
(welcome members)
Class Host (assist class instructors)
Study Group Host (assist study group facilitators)
Parking (assist with class park-and-ride)
Art Exhibits (contacts artists to exhibit during classes)
Card billing address ______________________________________
•
If you are registering online, please visit Bradley.edu/olli
Opens Thursday, February 6 at 8:30 a.m.
•
If you are registering by mail, please return pages 36-38
to: Bradley University Continuing Education, Attention
OLLI, 1501 W. Bradley Avenue, Peoria, IL 61625. You can
mail your registration at any time; forms will be processed
starting Thursday, February 6 at 8:30 a.m.
•
To speak with staff about your registration, please
complete pages 37-38, and call (309) 677-3900
after 8:30 a.m. on Friday, February 7 .
Step #5: READ & SIGN WAIVER
Photographs are taken during all OLLI programs. Your
membership gives consent for any such photographs to
be used for advertising and publicity purposes by Bradley
University, its licensees, and/or member organizations, and you
waive all claims for compensation for such use or for damages.
Step #3: SELECT YOUR PROGRAMS
All OLLI participants are required to read and sign this
assumption of risk, release, and waiver. Your signature
con昀rms that you have read and agree to the cancellation
policy, meet the activity level requirements, agree to abide
by the safety guidelines of Bradley University staff and
each host organization, and recognize and accept the risks
and conditions of the classes, study groups, and trips. You
acknowledge that participation involves some personal risk.
For each trip, you will wear closed-toed shoes and agree to
use any other safety equipment required by the host site
(including any COVID protocols in place). You will assume the
risks and responsibilities regarding your participation and
hold Bradley University and its agents harmless.
On pages 37-38 pick the activities in which you9d like to
participate, and total the cost for each.
_________________________________________________
Signature
Date
