PACKING FOR RETIREMENT CLASSES

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
Bolingbrook Recreation Center

200 Lindsey Ln, Bolingbrook, IL 60440
Course Selection #1 -

Tuesday's: January 20th & 27th from 6:00PM - 9:00PM at Bolingbrook Recreation Center
Park Place

141 S. Linden Avenue, Westmont
Course Selection #2 -

Wednesday's: January 21st & 28th from 6:00PM-9:00PM at Westmont Park District- Park Place
Reminder: these are two-part classes. Please only select one set of classes
Benedictine University

5700 College Rd, Lisle, IL 60532
Course Selection #3 -

Thursday's: January 22nd & 29th from 6:00PM-9:00PM at Benedictine University
Seager Park Interpretive Center

1163 Plank Rd, Naperville, IL 60563
Course Selection #4 -

Saturday's: January 24th & 31st from 9:00AM-12:00PM at Seager Park Interpretive Center
Enrollment Type*

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

Packing for Retirement Registration Form