CNU LIFELONG LEARNING SOCIETY 2015 SPRING COURSE REGISTRATION FORM Name(s): ________________________________ Phone: ____________________ SS#: _________________________ (Last four digits only) Address: ____________________________________________ _________________________________ __________ Street City ZIP Code Are you enrolling as a new member of LLS? Yes ____ No ____ Email: ______________________________________ Emergency Contact: _______________________________ _________________________ _____________________ Name Relationship Course Registration: Please number courses in order of preference. Session A Courses Phone # ____1 Beginning Spanish ____2 Beginning Chinese ____3 Clay ____4 Yoga ____5 Intermediate Spanish ____6 Body Fusion ____7 Computing III ____8 Charcoal Studies ____9 Rise & Fall Roman Empire ____10 Computer I ____11 Practicing Poetry ____12 Strength & Stretch ____13 Healthy Aging ____14 Oil/Acrylic Studio ____15 Integral Yoga ____16 Beginning French ____17 Plants & Human History ____18 Tai Chi ____19 Rise & Fall Christian Civilization ____20 Recovery 2008 Recession ____21 Fairy Tales ____22 The Verdant Country ____23 Civil War at Sea ____24 Bacon’s Rebellion ____25 World Languages I ____26 Watercolor Painting ____27 Making of North America ____28 Drawing ____29 Understanding Opera Part 2 ____30 Beginning Beading ____31 Watercolor ____32 Advanced Spanish ____33 Internet & Email ____34 Charcoal Studies ____35 Computer II ____36 Oil/Acrylic Studio ____37 World War II ____38 Transcendental Club ____39 The ISIS Crisis ____40 Trible Library ____41 Great Musicals ____42 Forgotten Stories Civil War ____43 Mozart ____44 Nonfiction Writing ____45 Advanced Writing Historians ____46 Organizing Family Filing ____47 Watercolor Panting ____48 Spanish Exploration ____49 Drawing ____50 iPads, iPhones & Androids ____51 Meanderings ____52 Watercolor Painting Session B Courses INTEREST GROUPS - OPEN TO ALL MEMBERS: ___ Bridge ____Book Club ___Mahjongg ___Discussion Group Our society is managed by and for its members. If you are willing to help, please check one or more of the following: ____ Hospitality and Special Events ____ Membership ____ Program Planning ____ Telephone Tree ____ Course Assistant ____ Office Volunteer ____ Teaching a Course You may register either by mail to LLS, Christopher Newport University, Yoder Barn Theatre, 660 Hamilton Drive, Newport News, VA 23602; or in person at 660 Hamilton Drive, Yoder Barn House; or by telephone at (757) 269-4368. If you register by January 12 you will receive written confirmation of your courses and their room locations. If you register after January 12 information will be available in the LLS office and at the first two Monday lectures. If you paid for a $235 membership or a $140 membership in the fall, you do not owe any membership fee. Full membership January-August 2015 lectures, courses & optional activities................................................($185) $__________ Associate membership January-August 2015 lectures & optional activities. No courses.................................($110) $__________ If you are currently an associate member and you now want spring courses......................................................($60)$__________ Syllabus fee for Rise and Fall Roman Empire.......................................................................................................($4)$__________ Charge for credit card usage..................................................................................................................................($3) $__________ Course fee ($15 per course) Computer I, II, III; Internet & Email; Intermediate, Advanced Spanish.....(_____ x $15) $__________ Course fee ($30 per course) Body Fusion, Chinese, Clay, Beg. Spanish, Beg. French, Yoga, Int. Yoga, Tai Chi...(_____ x $30) $__________ I want a blue parking decal ________ Additional decal only..............................................................(_____ x $22) $__________ No charge TOTAL $__________ For Office Use Only: Processed by: __________________________ on ___________________ paid by ________________ for $ __________ ____ current member ____ reinstated member ____ new member Date ___________ packet ___________ name tag ___________ decal Cash or check or credit card ______________ time recv. ______________ blue book Payment Options: Check payable to CNU for $_______ enclosed. MasterCard Visa Credit Card (circle one): American Express _________________ date recv. _________________ computer Discover Name on card ________________________________ Credit card no. ___________________________ Exp. date ___________ FIELD TRIP SCHEDULE Trip to Washington, D.C. “Gigi” at the Kennedy Center January 17, 2015 Trip to Washington, D.C. The Roosevelt Dynasty March 4, 2015 Elkins, West Virginia Mountain Music and Rails Spectacular April 17-18, 2015 For more information on trips please call the LLS office at (757) 269-4368. EVENTS Art Show and Luncheon January 20, 2015 April Luncheon April 21, 2015 Picnic July 1, 2015 Visit the CNU-LLS home page: lifelonglearning.cnu.edu LLS is an affirmative action/equal opportunity organization. Christopher Newport University does not discriminate in admission, employment or any other activity on the basis of race, color, age, religion, national origin, veteran status, physical handicap or political affiliation. Photos by Gary Green