OLLI Summer 2025 FINAL - Flipbook - Page 30
SUMMER 2025 REGISTRATION
Step 3: REGISTRANT INFO
Step 5: PAYMENT INFORMATION
Preferred First Name__________________________________
•
NO payment due during Registration
Week EXCEPT $5 membership fee.
See Page 28 for details.
•
For those registering May 14 or after:
Last Name ____________________________________________
Address ______________________________________________
City _____________________ State _______ Zip ____________
Home Phone _________________________________________
Learning Trips. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
Study Groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
Originals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
Mix and Mingles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
Movies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
Summer Seminar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
Online . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
Osher Online . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ______ +
OLLI Quarterly Membership Fee* . . . . . . . . . . . . . . . $ 5.00
=
TOTAL DUE =
$ ______
*Paid only once in May - August
Cell Phone ____________________________________________
Primary Number (check one)
Home
Cell
Email _________________________________________________
*By registering for summer 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.
Step 4: ADDITIONAL INFO (optional)
a) Are you a Bradley alum? Yes
No
b) Age range: (circle one)
50-59
60-69
70-79
90-99
80-89
Payment Information
For those registering May 14 or after:
Check (Payable to Bradley University)
100+
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.
c) Can you suggest a place where we might put OLLI
brochures in the community? _______________________
VISA MasterCard Discover American Express
d) My hobbies/interests: _____________________________
Card Number __________________________Exp. Date ________
Print name as it appears on card _________________________
Signature _______________________________________________
e) Areas of expertise I could share with OLLI: ________
_______________________________________________________
f) I’m 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)
30
Card billing address ______________________________________
•
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
