NEXT Village SF -- Event Registration Form

Please click button below to go to our NEW event registration calendar to register for NEXT Village SF events.

Thanks for your interest in joining us for a NEXT Village event!

This registration form was "retired" on 4/30/21.

Please visit the NEXT Village events calendar at https://www.monami.io/calendars/next-village or our website at nextvillagesf.org for information about events or NEXT Village services, membership benefits, volunteer opportunities or ways you can support NEXT Village SF.

NEXT Village SF is a neighborhood nonprofit providing services and support that empower members to live independently in their own homes as they age.

Learn more at NEXT Village SF:

https://nextvillagesf.org/

info@nextvillagesf.org

415.888.2868

Check the box in front of EACH event you want to attend

You will only receive Zoom info for events checked. Zoom login and phone number are unique for each event. Register for weekly series in next section.

4/28, 4 PM -- Reading Circle: Legends, Heroes & Heartthrobs, with author Dale Fehringer4/29, 4 PM – BINGO! With Sofia Pinzon

WEEKLY SERIES/EVENTS -- Check the box for weekly events to receive a reminder email with Zoom login the day before each meeting. Attend when you can. Not a problem if you can't make it.

Spanish Conversation Group - Weekly MONDAYS at 3 PM - April 12, 19 & 26Rendez-vous français ! ~ French Conversation Group with Judy O'Shea (starts 4/7) - Weekly WEDNESDAYS at 10:30 AM - April 7, 14, 21 & 28Women's Conversation Group with Alex & Leslie Pellegrini - Weekly WEDNESDAYS at 1PM - April 7, 14, 21 & 28Chair Yoga & Meditation - Weekly WEDNESDAYS, 2:15 PM - April 7, 14, 21 & 28Italian Conversation Group - Weekly THURSDAYS, 11 AM - April 8, 15, 22 & 29NEXT Village Entertainment Swap - Weekly FRIDAYS, 11:15 AM - Noon. No RSVP Required. Stop by during Swap hours at the NEXT Village office at 704 Filbert St. (books, puzzles, movies, games or other entertainment)

HALLOWEEN IN THE VILLAGE -- NEXT Village offers 2 weeks of special Halloween Fundraiser events. Support NEXT Village and have fun! Don't miss out on our People, Pets & Produce costume/decorating contests; Murder Mystery Parties; a Hitchcock film expert on The Birds; and our Grand Finale event. Click Yes below to be sent more details about the NEXT Village Halloween happenings, tickets and sponsorship opportunities. Or visit the website at https://nextvillagesf.org/halloween-2020/

Yes! Send me information on Halloween in the Village!No thanks.

For the July 31 Show and Tell event, let us know if you plan to share a 3-minute (or shorter) story. Don't worry if you change your mind later -- we're just trying to get a sense of how many storytellers we have. We'll email a reminder to confirm if you want to tell a story or not before event/s.

Yes! I want to Show & Tell and share a story!Maybe -- not sure if I want to share a story yet.No, I don't want to tell a story, I just want to hear others stories!Other:Other

Rate your Italian language level (for the Italian Conversation Group)

CONTACT INFORMATION
Make sure contact information is correct so we can send you Zoom event login/dial in information 24 hours prior to each event you registered for. If you are completing this registration for someone who does not have an email address, type your email address in the email field and we will send you the phone number to provide to the registrant.

Full Name*

First NameLast Name

E-mail*

NOTE: If you are completing this form for someone without an email address, provide your email. We will send you the login/phone information to provide to the registrant.

Phone Number*

Area CodePhone Number

Are you a NEXT Village San Francisco member?*

Yes, I am a current NEXT Village member (paid annual membership) or volunteerNo, but I am on the NEXT Village mail/email listNot a member, just signing up for an eventI'm not sure (we know it's confusing with all the groups out there, but Aquatic Park Senior Center members are not NEXT Village members unless you have also joined NEXT Village and paid the annual membership fee)

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Old Please add me to the following NEXT Village/D2U email lists so I'll be among the first to know about upcoming events and special activities!*

Monthly eNewsletterWeekly Events email & monthly eNewsletterWeekly & Monthly emails & Special AnnouncementsI don't want to receive NEXT Village emails except for emails about events I register for

Please add me to the following NEXT Village/D2U email lists so I'll know about upcoming events, news of interest to adults aged 60+ and special activities!

Monthly eNewsletterWeekly Events Email - lists upcoming week's events + new events addedSpecial Announcements - including vaccine updates and other news and special events

How did you hear about NEXT Village events?

Date of birth (our grant funding requires we collect this information)*

Date

Age (our grant funding requires we collect this information)*

OPTIONAL DEMOGRAPHIC INFORMATION

NEXT Village SF and District 2 University receive grant funding from the SF Department of Disability and Aging Services (DAS) to support our programs and events. Answers to the following questions are optional, but they help to show the diverse population we serve and help us qualify for future grants. You may answer them or scroll down to the SUBMIT button to register for events.

Ethnicity

Race

What was your sex at birth?

What is your gender? (Select option that best describes your current gender identity.)

If your gender identity is not listed above, please provide below.

How do you describe your sexual orientation or sexual identity?

If your sexual orientation or sexual identity is not listed above, please provide below.

Want to help us out?

I'm interested in volunteeringI have an idea for a future eventI'd like to make a donation to NEXT Village SFI'd like to offer other help

Thanks for your interest in volunteering. Let us know if you have specific interests or are willing to help however needed and we'll be in touch!

For example: Check in calls, transportation, grocery pick up, tech support

WANT TO JOIN AN EVENTS COMMITTEE? No need to join a committee, but if you are one of those stellar people able to make things happen, or if you simply want to help NEXT Village in some way with future events, check the types of things you are interested in and we'll email you about our next event brainstorming meeting!

Social Events (e.g., conversation/discussion groups, online games, craft/pet/hobby groups, book/movie discussion groups)Educational/Practical/Information (e.g., speakers, workshops, classes)Arts and Entertainment (e.g., movie groups, virtual tours/concerts, improv/acting classes, art classes)Affinity & Neighborhood Groups (e.g., bridge group, book club, neighborhood groups, or anyone else who wants to find others with similar interests)Fitness, Health, Wellness (e.g., from online exercise/dance, to socially distanced walking groups)Excursions and Nearby Adventures - currently on hiatus, but when safe to get out and about again, we will!Fundraising Committee

Have an idea for a future NEXT Village event? Tell us about it!

Thank you for your interest in making a donation to NEXT Village. Let us know best way to contact you (phone, email) or you can call us at 415-888-2868 or email info@nextvillagesf.org

Thanks for your interest in helping NEXT Village. Let us know what you're interested in doing so we can have the appropriate person get in touch with you!

DUPLICATE-Please add me to the following NEXT Village/D2U email lists so I'll be among the first to know about upcoming events and special activities!

Monthly eNewsletterWeekly Events email & monthly eNewsletterWeekly & Monthly emails & Special AnnouncementsI don't want to receive NEXT Village emails except for emails about events I register for

Make sure information is correct before clicking the yellow SUBMIT button below to ensure you will receive Zoom login/dial in information. If you get a message that "There are errors" after pressing the SUBMIT button, review the form above and make sure you have completed all required fields marked with an asterisk *