to register via U.S. mail - UC Davis: Retiree Center

UC Davis Retiree Center
Day Trip:
Phantom of the Opera
Wednesday, September 23, 2015
Far beneath the majesty and splendor of the Paris Opera House hides the Phantom in a
shadowy existence. Shamed by his physical appearance and feared by all, the love he
holds for his beautiful protégée Christine Daaé is so strong that even her heart cannot
resist. The beloved story and score—with songs like “Music of the Night,” “All I Ask Of
You,” and “Masquerade”—will be performed by a cast and orchestra of 52, making this
PHANTOM one of the largest productions now on tour.
Before the show, we will enjoy a pasta buffet lunch at the historic Hotel Whitcombe,
across the street from the Orpheum Theater. The menu will include Caesar salad, mixed
green salad, Penne alla Bolognese, Cremini, Grana Parmigiano, fettuccini Alfredo, seasonal fresh vegetables, garlic bread and tiramisu, coffee, tea and ice tea. Alcoholic
beverages will be available for purchase in the hotel bar.
The trip price includes lunch, theater tickets (orchestra center, rows Z, Schedule
AA and BB), bus transportation and snacks as you board the bus.
9:30 a.m. Check-in at Parking Lot 2 (adjacent to
South Entry Parking Structure)
Price: $165 per person for UCDEA/UCDRA members and guests;
9:45 a.m. Bus departs from Lot 2
$185 per person for non-members and guests
Registration: Registration form and fees must be received no later 11:15 a.m. Arrive at Market Street Grill for lunch
1:30 p.m. Walk across street to Orpheum Theater
than Wednesday, July 22. Retiree Center trips often fill, so earlier
2 p.m. Phantom of the Opera begins
registration is advised. Bus seating will be assigned from the front of the bus towards the back in the order registration is received at the
4:45 p.m. Play ends
Center. Those with mobility limitations will be given preference for
5 p.m. Bus departs Orpheum Theater for Davis
the front of the bus. Please see waiver and additional trip polices on
7 p.m. Estimated return time to Davis
back of form.
Photos for publicity purposes are taken at all Retiree Center events.
Please notify the event photographer if you do not wish to be included in any such photographs.
Cut here
BY
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must be received by
Phantom of Day
Registration
RSVP
July 22, 2015
9/23/2015 the Opera Trip
Prices are per person; guest price is same as registrant:
NAME:
 Emeriti Association: $165
 Retirees’ Association: $165
 Non-member: $185
EMAIL:
PHONE NUMBER:
CELL PHONE NUMBER:
EMERGENCY CONTACT (not on trip)
CONTACT PHONE NUMBER:
GUEST:
GUEST’S EMAIL (if different):
GUEST EMERGENCY
CONTACT (not on trip)
 Please check if you (or guest) have mobility limitations
Briefly describe mobility limitation ________________________________
GUEST’S CELL PHONE NUMBER:
CONTACT PHONE NUMBER:
TOTAL NUMBER OF TICKETS: _______
TOTAL AMOUNT OF ENCLOSED CHECK: $_______
Please complete the appropriate section of this form along with your check made payable to UC Regents.
Place together in an envelope and mail to: UC Davis Retiree Center  One Shields Avenue  Davis, CA 95616
Contact the Retiree Center via email: [email protected] or telephone: (530) 752-5182
No tickets will be sent. You will receive a reminder via email prior to the event.
Not a member of the UC Davis Emeriti Association or UC Davis Retirees’ Association? You must be a UC retiree to be a member. Join
now and receive the benefit of membership pricing for this event.
Retirees’ Association (UCDRA) Emeriti Association (UCDEA)
 $25 Annual membership
 $15 Annual membership; $15 after Nov. 1
 I want to join now!
 I want to renew my membership  $125 Lifetime membership; $125 after Nov. 1
$200 Lifetime membership
(membership year is July – June)
Make checks payable to UCDRA
(Separate check is required for membership dues)
Make checks payable to UCDEA
Policies for all Retiree Center-sponsored trips:
Registration—Registrations will be accepted in-person or by U.S. mail and must be accompanied by
payment. Seats on the bus will be assigned from the front of the bus to the back, in the order payment is
received. Exception: those with mobility limitations will be given preference for the front of the bus.
Limits—Each retiree is limited to two tickets—one for him/herself and one for a guest (additional guest
tickets may be purchased if tickets are still available one month prior to the trip date).
Mobility/Accessibility—The bus for these trips may not have a wheelchair lift, so you must be able
to climb the steps on and off the bus. Mobility aids can be transported in the storage areas of the bus.
Please read.
Before boarding the bus, you will be asked to sign a Group Waiver sheet which states that
states that you have read this form and fully understand its terms.
UNIVERSITY OF CALIFORNIA, DAVIS
Day Trip: Phantom of the Opera (SF)
Waiver of Liability, Assumption of Risk, and Indemnity Agreement
Waiver: In consideration of being permitted to participate in any way in the day trip to Phantom of
the Opera (SF), including charter bus transportation through UC Davis Fleet Services, on Wednesday,
September 23, 2015, hereinafter called "The Activity", I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue The Regents of the
University of California, its officers, employees, and agents from liability from any and all claims
including the negligence of The Regents of the University of California, its officers, employees
and agents, resulting in personal injury, accidents or illnesses (including death), and property loss
arising from, but not limited to, participation in The Activity.
Assumption of Risks: Participation in The Activity carries with it certain inherent risks that cannot
be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity
to another, but the risks range from 1) minor injuries such as scratches, bruises, and sprains 2) major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions
to 3) catastrophic injuries including paralysis and death.
I have read the previous paragraphs and I know, understand, and appreciate these and other
risks that are inherent in The Activity. I hereby assert that my participation is voluntary and
that I knowingly assume all such risks.
Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD The Regents of
the University of California HARMLESS from any and all claims, actions, suits, procedures, costs,
expenses, damages and liabilities, including attorney’s fees brought as a result of my involvement in
The Activity and to reimburse them for any such expenses incurred.
Severability: The undersigned further expressly agrees that the foregoing waiver and assumption
of risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of
California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
Acknowledgment of Understanding: I have read this waiver of liability, assumption of risk, and
indemnity agreement, fully understand its terms, and understand that I am giving up substantial
rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to
the greatest extent allowed by law.
Vol Waiver 7/01