MAIL IN OR DROP OFF FORM Last Name
Street Address Home Phone (
)
Date of Birth (MM/DD/YY) DAY TRIPS
- DATE
2017 Prime Times Subscription - Resident 2017 Prime Times Subscription - Nonresident 2017 Prime Times Subscription - Cameo The Little Mermaid
Chicago Blackhawks v. Nashville Preds Galos Salt Cave
Grand Victoria Casino Puppet Heroines
Saturday Night Fever
Drake Hotel History Tour & Tea Carmen
Shop & Play: Rivers Casino & Outlets Fancy Free Travel Presentation A Wonder in My Soul Sweeney Todd The Dream
My Way: Musical Tribute to Frank Chicago Flower & Garden Show Dairy & Spice & Everything Nice Mamma Mia!
Purdue Varsity Glee Club Outside Mullingar
Vera Bradley & Shipshewana Overnight
A Fireside Christmas
Celebrate Christmas Together 2 Celebrate Christmas Together Mr. & Mrs. Pennyworth Winter Overnight
Lisle Park District, 1925 Ohio Street, Lisle, IL 60532 Attn: Senior Center Registration First Name
City Cell Phone (
Email Address* R/NR FEE
$5
$10 $5
Jan. 4 Jan. 8 Jan. 10 Jan. 18 Feb. 1 Feb. 8 Feb. 9 Feb. 15 Feb. 16 Feb. 17 Feb. 28 Mar. 1 Mar. 5 Mar. 9 Mar. 14 Mar. 15 Mar. 23 Mar. 26 Apr. 2
Apr. 20-21
Dec. 14 Dec. 19 Dec. 20 Jan. 12
Jan. 24-25
The Book of Joseph Feb. 22
$60 / $65 $115 / $120 $47 / $52 $18 / $23 $55 / $60 $74 / $79
$99 / $104 $135 / $140 $15 / $20 FREE
$85 / $90 $68 / $73 $93 / $98 $72 / $77 $29 / $34 $38 / $43 $92 / $97 $79 / $84 $78 / $83
$193 / $198 single rm: + $65
PREVIOUSLY ADVERTISED TRIPS - Call 630-969-0992 to check availability. Comm Ctr. Senior Ctr. Senior Ctr. Senior Ctr.
$105 / $108 $64 / $69 $64 / $69 $75 / $80
$179 / $184
single rm: + $50 $50 deposit opt. $64 / $69
1) trout 2) chicken 3) spaghetti 1) trout 2) chicken 3) spaghetti
Comm Ctr. Roommate: Isle Card #
Rhythm City # Senior Ctr. * **YES, SIGN ME UP FOR THE 50+ ENEWSLETTER Senior Ctr.
Senior Ctr. $115/$172 - Age 21-49 Senior Ctr.
Senior Ctr. Photo ID required at casino Senior Ctr. Senior Ctr. Senior Ctr. Senior Ctr. Senior Ctr. Senior Ctr. Senior Ctr. Senior Ctr. Senior Ctr. Senior Ctr. Senior Ctr. Senior Ctr. Senior Ctr. Senior Ctr. Senior Ctr. Comm Ctr.
$50 deposit; bal due Jan. 13 1) steak 2) tilapia
1) steak 2) trout 3) chicken 1) chicken 2) turkey
# OF PEOPLE )
HOME P/U + $5
- PICKUP LOCATION OTHER DETAILS CIRCLE SELECTION
Date
PLEASE PRINT /
/ Zip
1) chicken 2) spaghetti w/meat
1) chicken 2) ravioli 3) tilapia Roommate:
How would you like to receive your receipt? (circle one) Make checks payable to: Lisle Park District
Email
Pick up
USPS Mail 50¢ E DO NOT MAIL CASH D Sponsored by
This section must be filled out if using VISA/Mastercard/Discover/AMEX: Account Number ............................................................. Expiration Date ........./.........../............... Amount Charged $.......................... Cardholder Name ..................................................................... Authorized Signature ..................................................................................
Register Online •
LisleParkDistrict.org/seniorcenter
SIGN WAIVER ON PAGE 2
26
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32