OLLI Spring 2026_pageturn - Flipbook - Page 46
Spring 2026 Registration
Step 2: CHOOSE HOW TO REGISTER
See page 42 for details.
Step 5: PAYMENT INFORMATION
NEW
DEADLINE: Registration Request Week, forms must be
in the office by 4:00 pm on Friday, February 6.
NO payment due during Registration
Request Week! See Page 43 for details.
For those registering February 11 or after:
For registration after February 11, mail in your forms
anytime.
Step 3: REGISTRANT INFO
Preferred First Name __________________________________
Last Name ____________________________________________
Address ______________________________________________
City _____________________ State _______ Zip ____________
Home Phone _________________________________________
Spring Kickoff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
Dallinger Series Author Event . . . . . . . . . . . . . . . . . . $ ______ +
Learning Trips. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
Study Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
Originals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
Mix and Mingles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
Movies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
Classes . . . . . . . . . . . . . . . . . . . . . . . . . . $30.00 x ____ = $ ______ +
Lunches. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
OLLI Online . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
Osher Online. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
OLLI Quarterly Membership Fee* . . . . . . . . . . . . . . . $ 5.00 =
*Paid only once in March - May
TOTAL DUE = $ _______
Cell Phone ____________________________________________
Primary Number (check one)
Home
Cell
Email _________________________________________________
*By registering for spring programs we will
automatically add you to OLLI’s weekly email and the
mailing list for our quarterly catalog.
I am new to OLLI and participating for the first time
Payment Information for those registering FEB 11 or after:
Check (Payable to Bradley University)
DO NOT SEND A CHECK with your initial registration.
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 appears on card ___________________________
Card Number __________________________Exp. Date ________
Signature _______________________________________________
Card billing address ______________________________________
To speak with staff about your payment: (309) 677-3900
Step 4: ADDITIONAL INFO (optional)
a) Are you a Bradley alum? Yes
b) Age range: (circle one)
50-59
60-69
70-79
80-89
Step 6: READ & SIGN WAIVER
No
90-99
100+
c) Can you suggest a place where we might put OLLI
brochures in the community? _______________________
d) My hobbies/interests: _____________________________
e) Areas of expertise I could share with OLLI: ________
_______________________________________________________
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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.
All OLLI participants are required to read and sign this
assumption of risk, release, and waiver. Your signature
confirms 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.
_______________________________________________________
Signature
Date
