OLLI Winter 2026_pageturn - Flipbook - Page 34
Winter 2026 Registration
Step 2: CHOOSE HOW TO REGISTER
Step 5: PAYMENT INFORMATION
See page 32 for details.
NEW
DEADLINE: Registration Request Week, forms must be
in the of昀椀ce by 4:00 pm on Friday, November 7.
•
For registration after November 12, mail in your forms
anytime.
NO payment due during Registration
Request Week! See Page 32 for details.
For those registering November 12 or after:
Winter Seminar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
Classes Jan. Zoom (1, 2, 3, or 4) . $15.00 x ____ = $ ______ +
Classes Feb. Zoom (1, 2, 3, or 4) . $20.00 x ____ = $ ______ +
Originals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
Study Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
Learning Trips. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
OLLI Online . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
Osher Online . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
OLLI Quarterly Membership Fee* . . . . . . . . . . . . . . . $ 5.00 =
Step 3: REGISTRANT INFO
Preferred First Name__________________________________
Last Name ____________________________________________
Address ______________________________________________
TOTAL DUE =
*Paid only once in January & February
City _____________________ State _______ Zip ____________
$ _______
Home Phone _________________________________________
Cell Phone ____________________________________________
Primary Number (check one)
Home
Cell
Email _________________________________________________
*By registering for fall 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 昀椀rst time
GO GREEN I use the online brochure, I do not wish
to receive the quarterly printed brochure.
Payment Information
For those registering November 12 or after:
Check (Payable to Bradley University)
For anyone
registering after
November 12.
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 _______________________________________________
Card billing address ______________________________________
•
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
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: ________
_______________________________________________________
34
To speak with staff about your payment, (309) 677-3900
Step 6: 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.
All OLLI participants are required to read and sign this
assumption of risk, release, and waiver. Your signature
con昀椀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.
_______________________________________________________
Signature
Date
