the summer 2015 registration form

LIFELONG LEARNING INSTITUTE Study Group Registration Form ± SUMMER 2015 Please complete this registration form and return it with your payment to: Lifelong Learning Institute, Washington Univ, 7425 Forsyth Blvd, CB 1154, St. Louis, MO 63105 Phone: (314) 935-­4237;; Fax: (314) 935-­4102;; Email: [email protected];; Website: lli.wustl.edu Name ___________________________ Phone ____________________ Email _____________________ Address ____________________________________ City _______________ State _____ ZIP ________ Emergency Contact __________________________________________ Phone _____________________ Circle your Membership Level: A) All-­Inclusive B) Summer Term A) All-­Inclusive Membership (includes parking) $645 B) Summer Term Tuition for one 4-­week course (excl. New Yorker/Current Events/Economist): $80 $ Summer Term Tuition for each additional 4-­week course: $50 ea. $ Summer Term Tuesday New Yorker/Current Events/Economist Additional Fee: $105 ea.$ Summer Book Club/Kemper Special Program $10 ea. $ Parking Permit (valid to 6/30/16;; complete vehicle information below) $45 $ TUITION AND PARKING SUBTOTAL $ Add your contribution to the General Fund (optional): $ Add your contribution to the Scholarship Fund (optional): $ TOTAL $ PAYMENT METHOD: Check (Payable to Washington University) ______ or Credit Card ______ Credit Card: Visa ____ MC ____ Account Number __________________________________ Exp Date ________ Credit Card: Account Name ________________________________ Signature ____________________________ LIBRARY CARD: Would you like a library card? Yes__No__ (Pick up cards at West Campus Library.) PARKING PERMIT: If you are purchasing a parking permit, please complete the following section: Car make: ____________________ Model _________________ Color ___________ Plate # _____________ I certify that the information I provide on this form is true and correct and that a condition of this registration is that the permit remains the property of the University and that I am subject to such registration fees, parking and traffic fines duly levied against me in accordance with the Parking Regulations of Washington University in St. Louis (Pick up Parking Permit in the LLI office). LLI COURSES: SUMMER TERM 2015 Please check the course(s) in which you wish to enroll below. Each individual should complete a separate registration form. ‡ MONDAYS, 7/6²7/27 † READING 4 BIOGRAPHIES † WALL STREET JOURNAL † WRITING DIALOGUE † BROADWAY MUSICALS † READING SCIENTIFIC AM † THINGS WITH FEATHERS † WWI MOVIES ‡ TUESDAYS, 7/7²7/28 † OPERATIC COMEDIES † SEAMUS HEANEY † CARAVAGGIO † NEW YORKER* 10:00 a.m.²Noon 10:00 a.m.²Noon 10:00 a.m.²Noon 10:00 a.m.²Noon 1:00²3:00 p.m. 1:00²3:00 p.m. 1:00²3:00 p.m. SPECIAL PROGRAMS
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ROMANTICISM AT THE SAINT LOUIS ART MUSEUM Friday, July 10 1:00²2:30 p.m. †
BOOK CLUB Lila by Marilynne Robinson Friday, July 17 10:00 a.m.²Noon 10:00 a.m.²Noon SEMINAR ON NATIVE AMERICAN MYTHS & †
10:00 a.m.²Noon STEREOTYPES AT THE KEMPER MUSEUM 10:00 a.m.²12:30 p.m. Friday, July 24 1:00-­3:00 p.m. 1:30²3:30 p.m. † FEDERAL COURT 10:00 a.m.²Noon † ECONOMIST* 10:00 a.m.²Noon † FILMS: THE GODFATHER 12:30²3:30 p.m. † BEST SHORT STORIES 2014 1:00²3:00 p.m. † MEMOIRS 1:00²3:00 p.m. ‡ THURSDAYS, 7/9²7/30 † DETECTIVE FICTION 10:00 a.m.²Noon † MEMOIRS 10:00 a.m.²Noon † CIVIL RIGHTS ISSUES** 1:00²3:00 p.m.
† WRITING FOR OURS 1 1:00²3:00 p.m. † WRITING FOR OURS 2 1:00²3:00 p.m. ‡ WEDNESDAYS, 7/8²7/29 ‡ FRIDAYS, 7/10²7/31 † CURRENT EVENTS* † GREAT DECISIONS 2015 10:00 a.m.²Noon 10:00 a.m.²Noon *These courses continue until the start of the new term. **This class will meet July 16-­30 plus a field trip. LLI courses often fill up quickly, so prompt registration is advised. Please select alternate(s) in case your choice is filled. MY ALTERNATE COURSE CHOICES: 1. Substitute _____________________________________ for _______________________________________ 2. Substitute _____________________________________ for _______________________________________ ALL CLASSES ARE HELD IN THE LLI FACILITIES 9 North Jackson, unless otherwise noted.