February 2017 Event Registration Form Mail or bring to: Golden Opportunity 1401 Jefferson Highway New Orleans, LA 70121 504-842-7000
Golden Opportunity
NAME:
Home Phone: ___________________________ Cell Phone: _____________________________
Address:
City, State, Zip:
Credit cards are now being accepted for events (excludes events costing $5.00). Payments may be made in our office, or on our website https://ochsner.force.com Important Notes: Effectively Immediately 1. 2.
3. 4.
Please send in the Event Registration Form with your payment. All prices are listed are per person. If you register to attend an event, please note that all events will be NONREFUNDABLE (includes the ($5) Ochsner bus fee). If someone is on the waiting list, and you contact the office in advance of the event. We’ll make every effort to have that person’s payment reimbursed to you. A credit will no longer be issued. If an event requires payment by check, submit separate checks for each event unless you are paying for more than one person for the same event. Please put the event name on the bottom of the check as some events have the same cost. Please SIGN your check. When attending “LUNCH BUNCH” please be prepared that this event will not return to the Primary Care & Wellness Center until event is over (approximately 3:00 p.m.). Please do not sign-up for this event if you have “Schedule Conflicts”! st
February 1 : Members’ Potluck Lunch (Food is not provided by Golden Opportunity, each participating member brings a dish) 12:00 p.m. – 1:30 p.m. - Brent House – LeJeune Room □ attend □ will not attend th
February 8 : New Orleans Pelicans vs. Utah Jazz – Smoothie King Center $35.00 per person (price includes admission ticket and Ochsner Bus fee) Game giveaway is a Mardi Gras Jersey Departure: 5:30 p.m. - Center for Primary Care & Wellness □ attend □ will not attend th
February 9 : Members’ Monthly Meeting 10:00 a.m. – 11:30 a.m. – Brent House – Caldwell & LeJeune Rooms Light refreshments provided! □ attend □ will not attend th
February 10 : Lunch Bunch “Lakefront Airport Tour & Messina’s Runway Café” $50.00 per person (Includes buffet lunch and Ochsner bus fee) Departure: 10:15 a.m. – Ochsner Hospital River Road Entrance □ attend □ will not attend th
February 16 : “Global Wildlife Tour & Lunch @ Scoops Restaurant (lunch on your own) $40.00 per person (Includes tour and motorcoach transportation) Departure: 9:00 a.m. – Ochsner Hospital River Road Entrance □ attend □ will not attend st
February 21 : Seminar – What Are Hospitalists? _ Presented by: Kathy Jo Carstarphen MD, MPH 10:00 a.m. – 11:30 a.m. – Center for Primary Care & Wellness - Camellia Room Light refreshments provided! □ attend □ will not attend th
February 28 : Mardi Gras Holiday
All GO events are subject to change. Ochsner Golden Opportunity has the right to adjust events without formal notice. Golden Opportunity has to guarantee payment to vendors for most events.
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