November 2014 Event Registration Mail or bring to: Golden Golden Opportunity Opportunity 1401 Jefferson Highway New Orleans, LA 70121 504-842-7000 NAME: Home Phone: ___________________________ Cell Phone: _____________________________ Address: City, State, Zip: Important Notes: 1. Please send in entire reservation form (do not cut strips). Extra forms will be available at group meeting or you can pick up form in the GO office. Must submit a form to attend. All prices are listed are per person. 2. If you register to attend an event on the registration form please note that all events (EFFECTIVE IMMEDIATELY) will be NONREFUNDABLE due to our current budget cutbacks which include the lunch bunch ($5) NONREFUNDABLE transportation fee. 3. If an event requires payment by check please submit separate checks for events unless otherwise stated and SIGN your check. 4. When attending “LUNCH BUNCH” please be prepared that this event is an “ALL DAY” event with side TOUR and will not return back to the hospital until event is over. Please do not sign-up for this event if you have “Schedule Conflicts”! *Side tours will be announced during lunch if time permits 5. Please note for the 2014 Year, we will ONLY have access to (1) Ochsner bus and will require us to have a WAITING LIST for those passengers who do not make it on the bus. The Ochsner bus holds ONLY (32 PASSENGERS). November 5th (Wednesday): GO Seminar: “CPR Demonstration” Presented by: Andrew Mahoney – Clinical Educator, Nursing Professional Development 10:00 a.m. – 11:30 a.m. – Brent House - LeJeune Room Light refreshments provided! □ attend □ will not attend □ add to waiting list November 6th (Thursday): “Saenger Theatre – Phantom of the Opera” (Sold Out) Early Lunch @ Bourbon House – 144 Bourbon St. - Members who have purchased tickets will be contacted regarding the menu and payment for the lunch. Departure 10:30 a.m. – GO Office (Center for Primary Care & Wellness Center Building) □ attend □ will not attend □ add to waiting list November 10th (Monday): “SHIIP (Senior Health Insurance Information Program) 2015 Insurance Updates” Presented by: Vicki Dufrene – Director, Office of Health Insurance – Louisiana Department of Insurance 10:00 a.m. – 11:30 a.m. – Camellia Conference Room – Primary Care & Wellness Light refreshments provided! □ attend □ will not attend □ add to waiting list November 12th (Wednesday): “Breakfast with Angela” Group Meeting: 10:00 a.m. - 11:30 a.m. – Monroe Hall (Near Southport Café) Light refreshments provided! □ attend □ will not attend □ add to waiting list November 2014 Event Registration Form Golden Opportunity NAME: (OVER) Home Phone: ___________________________ Cell Phone: _____________________________ Address: City, State, Zip: __________________________ November17th (Monday) – November 19th (Wednesday): “Wind creek Casino Resort (2-Night Trip) $155.00 p.p. (Double) $235.00 (Single) - (Includes Bus (Calco) Transportation, Hotel Accommodations, Tour (Mobile Museum of Art) & Baggage Handling). All meals during the stay will be on your own. Departure: 8:30 a.m. - Go Office - Center for Primary Care & Wellness Center Building Return: 6:00 p.m. (Park in area “C” of Parking Garage) *All members are to meet and wait in the lounge area near GO desk…No one is to pre-board the motorcoach!! □ attend □ will not attend □ add to waiting list November 18th (Tuesday): PHN (Peoples Health Network) 2015 Insurance Updates Presented by: Christy Levy – Community Marketing Specialist, Peoples Health 10:00 a.m. – 11:30 a.m. – Camellia Conference Room – Primary Care & Wellness Light refreshments provided! □ attend □ will not attend □ add to waiting list November 21st (Friday): Lunch Bunch: “Bon Ton Restaurant & Saints Hall of Fame Tour” $5.00 p.p. (Ochsner Bus Fee) – & $5.00 p.p. (Tour) - Order from the menu & pay the restaurant for your meal. Please pay $5.00 (cash) for tour upon arrival at Hall of Fame! Departure 9:15 a.m. – GO Office (Center for Primary Care & Wellness Center Building) □ attend □ will not attend □ add to waiting list November 24th (Monday): GO “Pot Luck”: (Don’t forget – Bring a dish!) 12:00 p.m. – 1:30 p.m. - (Brent House - LeJeune Room) □ attend □ will not attend □ add to waiting list Registration for November events begins @ 9:00 a.m. - Monday – October 20, 2014. If you are not able to come on registration day, you can mail your Registration Form and payments to: Golden Opportunity 1401 Jefferson Hwy. New Orleans, LA 70121 504-842-7000 2 November 2014 Event Registration Form If you would like to attend a play listed on the newsletter, just mail in your check noting which play you will be attending (call the office for the cost of each play). Golden Opportunity 3