MAIL IN OR DROP OFF FORM Last Name
Street Address Home Phone (
√ CHECK SELECTION DAY TRIPS
) Date of Birth (MM/DD/YY) DATE
2017 Prime Times Subscription - Resident 2017 Prime Times Subscription - Nonresident 2017 Prime Times Subscription - Cameo February Fancy Free Presentation March Fancy Free Presentation Harrah's Casino
Macy's Flower Show & Mainbocher Silent Sky
IL Holocaust Museum & Bahá’í Dancing Horses Theatre The King of Yees
Jesus Christ Superstar Aladdin
Marry Me A Little My Fair Lady Chicago
Relativity Chicago Cubs vs. Colorado Rockies
Vera Bradley & Shipshewana Overnight
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
-
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
Feb. 17 Mar. 10 Mar. 30 Apr. 4 Apr. 6 Apr. 12 Apr. 25 Apr. 27 May 3 May 10 May 11 May 17 May 25 May 31 June 9
Shop & Play: Rivers Casino & Outlets Feb. 16
Apr. 20-21
Feb. 28 Mar. 1 Mar. 5 Mar. 9 Mar. 14 Mar. 15 Mar. 23 Mar. 26 Apr. 2
FREE FREE
$18 / $23 $57 / $62 $62 / $67 $65 / $70 $75 / $80 $88 / $93 $69 / $74
$145 / $150 $89 / $94
$135 / $140 $74 / $79 $114 / $119 $89 / $94
$15 / $20 * **YES, SIGN ME UP FOR THE 50+ ENEWSLETTER
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.
# OF PEOPLE )
HOME P/U + $5
- PICKUP LOCATION OTHER DETAILS CIRCLE SELECTION
Date Zip
PLEASE PRINT /
/
1) Pot Pie 2) Peach Nst 3) Portabello Burger
1) Chick. Salad 2) Bac. Chbrger 3) Whitefish
1) Chick. Club 2) Burger 3) Soup / Gr. Cheese 1) Crab Cake 2) Salad 3) Ribeye 4) Tortellini 1) Chicken 2) Steak
PREVIOUSLY ADVERTISED TRIPS - Call 630-969-0992 to check availability. Senior Ctr.
$193 / $198* $85 / $90
$68 / $73 $93 / $98 $72 / $77 $29 / $34 $38 / $43 $92 / $97 $79 / $84 $78 / $83
Comm Ctr. Senior Ctr.
Senior Ctr. Senior Ctr.
Senior Ctr. 1) steak 2) tilapia Senior Ctr. Senior Ctr. Senior Ctr. Senior Ctr. Senior Ctr.
Roommate: +$65 single room fee
1) chicken 2) spaghetti w/meat 1) chicken 2) ravioli 3) tilapia
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: Account Number ............................................................. Expiration ........./........... CVC Code ............. Amount Charged $..................... Cardholder Name ..................................................................... Authorized Signature ..................................................................................
Register Online •
LisleParkDistrict.org/seniorcenter
SIGN WAIVER ON PAGE 2
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