Clone of Packing for Retirement Registration Form 2025

Packing for Retirement Registration Form
Attendee Name *

First NameLast Name
Additional Attendee Name

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Additional Attendee Phone Number

Area CodePhone Number
E-mail*
Additional Attendee E-mail
example@example.com
Reminder: these are two-part classes. Please only select one set of classes
Schaumburg Township District Library

130 S Roselle Rd, Schaumburg, IL 60193
Course Selection #1 -

Tuesday's: February 3rd & 10th from 6:00PM - 9:00PM at Schaumburg Township District Library
Mt. Prospect Park District

1351 Campbell Ave, Des Plaines, IL 60016
Course Selection #2 -

Wednesday's: February 4th & 11th from 6:00PM-9:00PM at Mt. Prospect Park District
Reminder: these are two-part classes. Please only select one set of classes
Oakton College

1600 Golf Rd, Des Plaines, IL 60016
Course Selection #3 -

Thursday's: February 5th & 12th from 6:00PM-9:00PM at Oakton College
Rolling Meadows Community Center

Laurel Room: 3705 Pheasant Drive, Rolling Meadows, IL 60008
Course Selection #4 -

Saturday's: February 7th & 14th from 9:00AM-12:00PM at Rolling Meadows Community Center
Enrollment Type*

I am bringing my spouse or partnerI will be attending without a guest
Should be Empty:

Packing for Retirement Registration Form