OLLI Winter 2027_pageturn - Flipbook - Page 33
REGISTRATION
Winter 2027 Registration ONE
FORM PER PERSON
Step 1: RANK YOUR PROGRAMS
Step 4: REQUESTED TOTAL
Rank ALL of your program choices in order of priority –
#1, #2 #3 etc. in the first column. Reminder, there can
only be one #1 across all programs.
NEW
NO payment due during Registration
Request Week! See Page 32 for details.
For those registering November 11 or after:
Step 2: TELL US ABOUT YOU
Preferred First Name __________________________________
Last Name ____________________________________________
Address ______________________________________________
City _____________________ State _______ Zip ____________
Home Phone _________________________________________
Cell Phone ____________________________________________
Primary Number (check one)
Home
Cell
Winter Seminar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______
+ Jan Online Classes (1, 2, 3, or 4) . . $15 x ______ = $ _______
+ Feb Online Classes (1, 2, 3, or 4) . . $20 x ______= $ _______
+ Originals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______
+ Movies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______
+ Study Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______
+ Learning Trips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______
+ Mix & Mingle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0.00
+ Osher Online . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______
+ OLLI Quarterly Membership Fee* . . . . . . . . . . . . . $ 5.00
=
*Paid only once in Jan & Feb
REQUESTED TOTAL = $ _______
Email _________________________________________________
a) Are you a Bradley alum? Yes
No
b Are you interested in volunteering?
I’d love to help, please contact me
I already do and want to continue
Not at this time
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.
Important Reminders
•
You must receive a Registration Request
confirmation via email to ensure your registration
requests have been received.
•
You will receive an email on November 10
regarding your program status and payment.
•
Payments must be received by Monday, November
23 to secure your registration. Registrations with
outstanding balances after Monday, December 7
will be dropped from enrolled programs.
•
Contact the staff for assistance (309) 677-3900 or
olli@bradley.edu
Step 3: 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
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
33
