Registration Form—January/February 2015 Registration Dates: December 10 (Residents) December 12 (Non-Residents) INSTRUCTIONS: To register, check the Register box next to each activity in which you would like to participate and the initials of the person registering. For trips please rank your trip choice from 1 (most desired) to 4(least desired). You will receive a receipt in the mail confirming that you have been registered for the activities you selected. R = fee for Danville residents; N = fee for non-residents.
NOTE: Information on refunds/cancellations/withdrawals and make-up classes are on page 4 Priority Participant (1-6) Initials
SENIOR SNEAKER TRIPS
Date
Time (approximate)
Fee
Rank Trip choices using “1” as first choice through “5” for last choice in the Priority Column
Register Participant (X) Initials
San Mateo County History Museum Barcode: 41593
Wednesday Jan 14
10:15 a.m.-5:00 p.m.
$86 R $103 N
Santa Clara County Crime Lab Tour Barcode: 41589 California POPS! Concert Barcode: 41590 Please circle choice of entrée: Penne Pasta w/eggplant * Spinach Ravioli Spaghetti w/meat sauce * Chicken Marsala If These Walls Could Talk Barcode: 41591 Please circle choice of entrée: Roasted Chicken Breast * Mushroom Ravioli
Wednesday Jan 21
9:00 a.m.-3:00 p.m.
$73 R $88 N
Sunday Feb 8
11:00 a.m.-6:30 p.m.
$116 R $139 N
Tuesday Feb 17
9:00 a.m.-5:00 p.m.
$92 R $110 N
Sierra Snow Train Getaway Barcode: 41595
Mon-Wed Feb 23-25
7:30 a.m.-4:00 p.m.
SPECIAL EVENTS
Date
Time (approximate)
Taste and Toast of Italy Barcode: 41439
Thursday Jan 22
7:00 p.m.-8:30 p.m.
$6R $8N $10 at door
Thursday Feb 5
10:30 a.m.-12:30 p.m.
$28 R $34 N
Friday Feb 27
6:30 p.m.–8:30 p.m.
$8 R $10 N
BUZZ SESSIONS
Date
Time (approximate)
Fee
Sexuality in the Golden Years Barcode: 41701 Starting Your Memoirs NOW Barcode: 41702
Tuesday Jan 13 Tuesday Jan 20
10:00a.m.-11:00a.m.
Free
10:00a.m.-11:00a.m.
Free
Walking Safely-Improving Balance Barcode: 41703
Tuesday Jan 27
10:00a.m.-11:00a.m.
Free
Wills and Trusts, Advanced Health Directives Barcode: 41704 Get Moving: Trekking Poles Barcode: 41705 Social Security Benefits Workshop Barcode: 41706 Village Theatre Art Gallery (VTAG) Tour Barcode: 41707
Tuesday Feb 3 Tuesday Feb 10 Tuesday Feb 17 Tuesday Feb 24
10:00a.m.-11:00a.m.
Free
10:00a.m.-11:00a.m
Free
10:00a.m.-12:00p.m.
Free
10:00a.m.-12:00p.m.
Free
CLASSES
Date
Time (approximate)
Fee
AARP Smart Driver Course Barcode: 41767
Thursday Jan 15 & Jan 22
9:00 a.m.-1:00 p.m.
See Class Info.
TOTAL FEES
PAGE 1
Rachel Dunn Chocolate Making Class Barcode: 41441 (this is off-site and transportation is NOT included) Evening Dance Barcode: 43441 Register Participant (X) Initials
Register Participant (X) Initials
See newsletter for pricing Fee
$
Register Participant (X) Initials
Time (approximate)
CLASSES (Con’t)
Date
NEW! Acrylic Painting Barcode: 41529 NEW! Art for Everyone Barcode: 41527
Monday 1/4 - 2/23 Friday 1/9 - 2/27
Basic Crochet Barcode: 41521
Wednesday Jan 14
1:00 p.m.-3:00 p.m.
$35 R $42 N
Basic Knitting Barcode: 41522
Wednesday Jan 21
1:00 p.m.-3:00 p.m.
$35 R $42 N
Bridge Basics One – An Introduction Barcode: 41517
Wednesday 1/7 - 2/25
10:00 a.m.-12:00 p.m.
$100 R $120 N
Bridge Basic Two – Competitive Bidding Barcode: 41518 Cane Doh Barcode: 41574
Wednesday 1/7 – 2/25 Tuesday 1/6 – 2/24
9:00 a.m.-10:00 a.m.
$100 R $120 N $65 R $79 N
Conversational Chinese for Travelers Barcode: 43088
Saturday 1/10 – 2/28
10:00 a.m.-11:00 a.m.
$40 R $48 N
Cooking with James Barcode: 41536
Thursday February 5
2:00 p.m.-3:30 p.m.
$5 R $6 N
Crochet Hearts Barcode: 41524
Wednesday February 4
1:00 p.m.-3:00 p.m.
$35 R $42 N
Dancercise Barcode: 41584
Wednesday 1/7 – 2/25
10:50 a.m.-11:40 a.m.
$16 R $19 N
Finding Meaning in Retirement Barcode: 43438
Thursdays 1/15 – 2/5
10:00 a.m. –12:00 p.m.
$8 R $10 N
Friday 1/9 – 2/27 Monday 1/5 – 2/23 Wednesday 1/7 – 2/25 Tuesday 1/6-2/24
10:30 a.m.-1:30 p.m.
Free
3:00 p.m.-4:00 p.m.
1:00 p.m.-3:00 p.m.
$30 R $36 N $45 R $54 N $160 R $192 N
Hoppy Tuesdays @ The Growler Barcode: 41371
Tuesday Jan 6
6:00 p.m.-7:30 p.m.
$20 R $24 N
Hoppy Tuesdays @ The Growler Barcode: 41372 Hoppy Tuesdays @ The Growler Barcode: 41373
Tuesday Feb 3 Tuesday Mar 3
6:00 p.m.-7:30 p.m. 6:00 p.m.-7:30 p.m.
$20 R $24 N $20 R $24 N
Hoppy Tuesdays @ The Growler Barcode: 41374
Tuesday Jan 6, Feb 3, Mar 3
6:00 p.m.-7:30 p.m.
$54 R $65 N
Jacki Sorensen’s Aerobic Dancing Barcode: 41543
Monday 1/5 – 2/23
5:30 p.m.-6:30 p.m.
$56 R $67 N
Jacki Sorensen’s Aerobic Dancing Barcode: 41544
Wednesday 1/7 – 2/25
5:30 p.m.-6:30 p.m.
$56 R $67 N
Jacki Sorensen’s Aerobic Dancing Barcode: 41542 Kamanawanaplaya Ukulele Barcode: 41562 Knit Basket Weave Scarf Barcode: 41523 Knit Color Work Scarf Barcode: 41525 Line Dance-Beginner/High Beginner Barcode: 41606 Line Dance-High Beginner/Easy Intermediate Barcode: 41608
Mon/Wed 1/5 – 2/25 Thursday 1/8 – 2/26 Wednesday Jan 28 Wednesday Feb 11 Thursday 1/8 – 2/26 Monday 1/12 – 2/23
5:30 p.m.-6:30 p.m.
$92 R $110 N $16 R $20 N $35 R $42 N $35 R $42 N $24 R $29 N $20 R $24 N
Game Day Barcode: 41459 Gentle Stretch Barcode: 41570 Gentle Stretch Barcode: 41571 NEW! Hand Painting on Glass Barcode: 41528
TOTAL FEES
Fee $120 R $144 N $150 R $180 N
10:00 a.m.-12:00 p.m. 1:00 p.m.-2:00 p.m.
6:30 p.m.-8:30 p.m.
3:00 p.m.-4:00 p.m.
4:30 p.m.-6:00 p.m. 1:00 p.m.-3:00 p.m. 1:00 p.m.-3:00 p.m. 10:00 a.m.-11:00 a.m. 7:00 p.m.-9:00 p.m. PAGE 2
$
Register Participant (X) Initials
Register Participant (X) Initials
CLASSES (Con’t)
Date
Line Dance-High Beginner/Easy Intermediate Barcode: 41607 Luk Tung Kuen Barcode: 41583 NEW! Mac-Senior Basics Barcode: 43385 Qi Gong Barcode: 41582 NEW! Reformer Pilates for Seniors Barcode: 43098 Senior Stretch Barcode: 41566 Singing Group Barcode: 41460 Sit to Get Fit Barcode: 41568 Spanish – Beginning Barcode: 41538 Spanish Conversation Barcode: 41539 NEW! Strength and Tone Barcode: 41976 Sudoku Barcode: 39613 Tai Chi Barcode: 41581 Tai Chi Chih/Qi Gong Barcode: 41603 Ukulele, Advanced Barcode: 41565 Ukulele, Beginners Barcode: 41564 Writing Group Barcode: 41461 Yoga Barcode: 41551 Yoga Barcode: 41552 Yoga Barcode: 41553 Zumba Barcode: 41970
Thursdays 1/8 – 2/26 Wednesday 1/7 – 2/25 Tuesday 1/6 – 2/10 Wednesday 1/7 - 2/25 Monday 1/5 - 2/23 Friday 1/9 – 2/27 Thursday 1/8 – 2/26 Monday 1/5 – 2/23 Tuesday 1/6 – 2/24 Monday 1/12 – 2/23 Thursday 1/8 – 2/26 Friday 1/9 – 2/27 Wednesday 1/7 – 2/25 Tuesday 1/6 – 2/24 Tuesday 1/6 – 2/24 Tuesday 1/6 – 2/24
Time (approximate) 11:15 a.m.- 12:15 p.m. 10:00 a.m.-10:40 a.m. 1:00 p.m.-2:00 p.m. 12:00 p.m.-1:00 p.m. 1:00 p.m.-1:55 p.m. 9:15 a.m.-10:15 a.m. 12:30 p.m.-1:30 p.m. 1:30 p.m.-2:30 p.m. 9:30 a.m. -10:30 a.m. 9:30 a.m.-10:30 a.m. 4:15 p.m.-5:15 p.m. 1:00 p.m.-2:00 p.m. 9:00 a.m.-9:50 a.m. 10:30 a.m.-11:30 a.m. 3:45 p.m.-5:00 p.m. 2:30 p.m.-3:30 p.m.
Fee $24 R $29 N $16 R $19 N $75 R $90 N $16 R $19 N $150 R $180 N $25 R $30 N $8 R $10 N $60 R $72 N $80 R $96 N $50 R $60 N $56 R $67 N $8 R $10 N $16 R $19 N $16 R $19N $90 R $108 N $90 R $108 N
Friday 1/9 - 2/27
10:00 a.m.-12:00 p.m.
Free
Monday 1/5 – 2/23 Monday 1/5 – 2/23 Wednesday 1/7 – 2/25 Monday 1/5 – 2/23
11:00 a.m.-12:15 p.m.
$60 R $72 N $60 R $72 N $80 R $96 N $56 R $67 N
HEALTH AND WELLNESS PROGRAMS
Date
Time (approximate)
Fee
Welcome to Medicare Barcode: 43099 Welcome to Medicare Barcode: 43100
Saturday Jan 10 Saturday Feb 14
10:00 a.m.-12:30 p.m.
Free
10:00 a.m.-12:30 p.m.
Free
12:30 p.m.-1:45 p.m. 8:15 a.m.-9:30 a.m. 4:15 p.m.-5:15 p.m.
TOTAL FEES
PAGE 1
$
TOTAL FEES
PAGE 2
$
TOTAL FEES
PAGE 3
$
TOTAL FEES
$
Senior Issues Sub-committee Meeting in 2015 Wednesday, January 28 REGISTRATION INFORMATION Mail or drop off your registration form to the Danville Senior Center or the Danville Community Center. All resident registrations received by December 9 at 5:00p.m. will be processed beginning Wednesday, December 10 with no priority given. Non-resident registration will begin on Friday, December 12. Phone and walk-in registration will begin on Monday, December 15. To register by phone, please contact the Danville Senior Center (925) 314-3490. Senior Sneaker Trips Times listed for each Senior Sneaker trip are approximate. Checklists will now be emailed one week prior to date of trip with exact meeting time. Senior Sneaker Trip Refund Policy: When registration falls below the minimum enrollment required, it may be necessary to cancel a trip. At the time of cancellation, the Town will initiate a full refund. Please allow 3 to 4 weeks for refunds to be processed. Withdrawal and refund requests must be submitted five working days prior to the trip. Refunds will not be given for trips designated (no refund). Senior Sneaker Trip Registration Priority: Due to the high demand of the Senior Sneaker program, seniors will be limited to registering for two trips per month, or a total of four per issue of the Silver Streak newsletter. When choosing your trips, please number them in order of priority. Class Cancellation/Withdrawals Requests for withdrawal will be honored if requested no later than 5 business days prior to the first day of class. Requests made less than 5 business days prior to the first day of class must be submitted in writing and will be considered on an individual basis. A $20 processing fee will be charged for check refunds; a $5 processing fee for credit card refunds. Make-up Classes Whenever possible, make-up classes will be given on those occasions when inclement weather or instructor illness requires that a class be cancelled. No refunds (whole or partial) can be given for classes missed by the student. In Case of Emergency: Please call Senior Services to verify that your emergency contact information is current. Since prompt medical care is crucial in an emergency, the Town would like to ensure we have the most current information for each participant. If you wish to register by mail, complete the form and mail with payment to:
Danville Senior Center Attn: Class Registrations 115 E. Prospect Avenue Danville, CA 94526 (Circle One): Check
Checks payable to: Town of Danville Cash (exact amount) MasterCard Visa
AMEX
Name (s): _____ Address/City_____________________________________________________________________________________________Zip: E-Mail Address: ____________________________________________________________________________________________________________________ Home Phone: ________________________________________________Cell Phone: Credit Card No: ________________________________________________________________________________Exp.Date: _______________________ Signature: _