Registration Form—January/February 2015 Registration Dates: December 10 (Residents) December 12 (Non-Residents)

INSTRUCTIONS: To register, check the Register box next to each activity in which you would like to participate and the initials of the person registering. For trips please rank your trip choice from 1 (most desired) to 4(least

desired). You will receive a receipt in the mail confirming that you have been registered for the activities you selected. R = fee for Danville residents; N = fee for non-residents.

NOTE: Information on refunds/cancellations/withdrawals and make-up classes are on page 4 Priority

(1-6) Participant

Initials

SENIOR SNEAKER TRIPS

Date Time

(approximate)

Fee

Rank Trip choices using “1” as first choice through “5” for last choice in the Priority Column

San Mateo County History Museum Barcode: 41593

Wednesday Jan 14

10:15 a.m.-5:00 p.m.

$86 R $103 N

Santa Clara County Crime Lab Tour Barcode: 41589

Wednesday Jan 21

9:00 a.m.-3:00 p.m. $73 R $88 N

California POPS! Concert Barcode: 41590

Please circle choice of entrée: Penne Pasta w/eggplant * Spinach Ravioli Spaghetti w/meat sauce * Chicken Marsala

Sunday Feb 8

11:00 a.m.-6:30 p.m. $116 R $139 N

If These Walls Could Talk Barcode: 41591

Please circle choice of entrée: Roasted Chicken Breast * Mushroom Ravioli

Tuesday Feb 17

9:00 a.m.-5:00 p.m. $92 R

$110 N

Sierra Snow Train Getaway Barcode: 41595

Mon-Wed Feb 23-25

7:30 a.m.-4:00 p.m. See

newsletter for pricing

Register(X)

Participant Initials SPECIAL EVENTS Date Time

(approximate) Fee

Taste and Toast of Italy Barcode: 41439

Thursday Jan 22

7:00 p.m.-8:30 p.m. $6R $8N

$10 at door

Rachel Dunn Chocolate Making Class

Barcode: 41441 (this is off-site and transportation is NOT included)

Thursday Feb 5

10:30 a.m.-12:30 p.m. $28 R $34 N

Evening Dance Barcode: 43441

Friday Feb 27

6:30 p.m.–8:30 p.m. $8 R

$10 N

Register (X)

Participant Initials BUZZ SESSIONS Date Time

(approximate) Fee

Sexuality in the Golden Years Barcode: 41701

Tuesday Jan 13 10:00a.m.-11:00a.m. Free

Starting Your Memoirs NOW Barcode: 41702

Tuesday Jan 20 10:00a.m.-11:00a.m. Free

Walking Safely-Improving Balance

Barcode: 41703 Tuesday

Jan 27 10:00a.m.-11:00a.m. Free

Wills and Trusts, Advanced Health Directives Barcode: 41704

Tuesday Feb 3 10:00a.m.-11:00a.m. Free

Get Moving: Trekking Poles Barcode: 41705

Tuesday Feb 10 10:00a.m.-11:00a.m Free

Social Security Benefits Workshop Barcode: 41706

Tuesday Feb 17 10:00a.m.-12:00p.m. Free

Village Theatre Art Gallery (VTAG) Tour Barcode: 41707

Tuesday Feb 24

10:00a.m.-12:00p.m. Free

Register (X)

Participant Initials CLASSES Date Time

(approximate) Fee

AARP Smart Driver Course Barcode: 41767

Thursday Jan 15 & Jan 22

9:00 a.m.-1:00 p.m. See Class

Info.

TOTAL FEES PAGE 1 $

Register (X)

Participant Initials CLASSES (Con’t) Date

Time (approximate) Fee

NEW! Acrylic Painting Barcode: 41529

Monday 1/4 - 2/23

10:00 a.m.-12:00 p.m. $120 R $144 N

NEW! Art for Everyone Barcode: 41527

Friday 1/9 - 2/27

1:00 p.m.-2:00 p.m. $150 R $180 N

Basic Crochet Barcode: 41521

Wednesday Jan 14

1:00 p.m.-3:00 p.m. $35 R $42 N

Basic Knitting Barcode: 41522

Wednesday Jan 21

1:00 p.m.-3:00 p.m. $35 R $42 N

Bridge Basics One – An Introduction Barcode: 41517

Wednesday 1/7 - 2/25

10:00 a.m.-12:00 p.m. $100 R $120 N

Bridge Basic Two – Competitive Bidding Barcode: 41518

Wednesday 1/7 – 2/25

6:30 p.m.-8:30 p.m. $100 R $120 N

Cane Doh Barcode: 41574

Tuesday 1/6 – 2/24 9:00 a.m.-10:00 a.m. $65 R

$79 N

Conversational Chinese for Travelers Barcode: 43088

Saturday 1/10 – 2/28 10:00 a.m.-11:00 a.m. $40 R

$48 N

Cooking with James Barcode: 41536

Thursday February 5 2:00 p.m.-3:30 p.m. $5 R

$6 N

Crochet Hearts Barcode: 41524

Wednesday February 4 1:00 p.m.-3:00 p.m. $35 R

$42 N

Dancercise Barcode: 41584

Wednesday 1/7 – 2/25 10:50 a.m.-11:40 a.m. $16 R

$19 N

Finding Meaning in Retirement Barcode: 43438

Thursdays 1/15 – 2/5 10:00 a.m. –12:00 p.m. $8 R

$10 N

Game Day Barcode: 41459

Friday 1/9 – 2/27 10:30 a.m.-1:30 p.m. Free

Gentle Stretch Barcode: 41570

Monday 1/5 – 2/23 3:00 p.m.-4:00 p.m. $30 R

$36 N

Gentle Stretch Barcode: 41571

Wednesday 1/7 – 2/25 3:00 p.m.-4:00 p.m. $45 R

$54 N

NEW! Hand Painting on Glass Barcode: 41528

Tuesday 1/6-2/24 1:00 p.m.-3:00 p.m. $160 R

$192 N

Hoppy Tuesdays @ The Growler Barcode: 41371

Tuesday Jan 6 6:00 p.m.-7:30 p.m. $20 R

$24 N

Hoppy Tuesdays @ The Growler Barcode: 41372

Tuesday Feb 3 6:00 p.m.-7:30 p.m. $20 R

$24 N

Hoppy Tuesdays @ The Growler Barcode: 41373

Tuesday Mar 3 6:00 p.m.-7:30 p.m. $20 R

$24 N

Hoppy Tuesdays @ The Growler Barcode: 41374

Tuesday Jan 6, Feb 3, Mar 3 6:00 p.m.-7:30 p.m. $54 R

$65 N

Jacki Sorensen’s Aerobic Dancing Barcode: 41543

Monday 1/5 – 2/23 5:30 p.m.-6:30 p.m. $56 R

$67 N

Jacki Sorensen’s Aerobic Dancing Barcode: 41544

Wednesday 1/7 – 2/25 5:30 p.m.-6:30 p.m. $56 R

$67 N

Jacki Sorensen’s Aerobic Dancing Barcode: 41542

Mon/Wed 1/5 – 2/25 5:30 p.m.-6:30 p.m. $92 R

$110 N

Kamanawanaplaya Ukulele Barcode: 41562

Thursday 1/8 – 2/26 4:30 p.m.-6:00 p.m. $16 R

$20 N

Knit Basket Weave Scarf Barcode: 41523

Wednesday Jan 28 1:00 p.m.-3:00 p.m. $35 R

$42 N

Knit Color Work Scarf Barcode: 41525

Wednesday Feb 11 1:00 p.m.-3:00 p.m. $35 R

$42 N

Line Dance-Beginner/High Beginner Barcode: 41606

Thursday 1/8 – 2/26 10:00 a.m.-11:00 a.m. $24 R

$29 N

Line Dance-High Beginner/Easy Intermediate Barcode: 41608

Monday 1/12 – 2/23 7:00 p.m.-9:00 p.m. $20 R

$24 N

TOTAL FEES PAGE 2 $

Register (X)

Participant Initials CLASSES (Con’t) Date

Time (approximate) Fee

Line Dance-High Beginner/Easy Intermediate Barcode: 41607

Thursdays 1/8 – 2/26

11:15 a.m.- 12:15 p.m. $24 R $29 N

Luk Tung Kuen Barcode: 41583

Wednesday 1/7 – 2/25

10:00 a.m.-10:40 a.m. $16 R $19 N

NEW! Mac-Senior Basics Barcode: 43385

Tuesday 1/6 – 2/10

1:00 p.m.-2:00 p.m. $75 R $90 N

Qi Gong Barcode: 41582

Wednesday 1/7 - 2/25

12:00 p.m.-1:00 p.m. $16 R $19 N

NEW! Reformer Pilates for Seniors Barcode: 43098

Monday 1/5 - 2/23

1:00 p.m.-1:55 p.m. $150 R $180 N

Senior Stretch Barcode: 41566

Friday 1/9 – 2/27

9:15 a.m.-10:15 a.m. $25 R $30 N

Singing Group Barcode: 41460

Thursday 1/8 – 2/26

12:30 p.m.-1:30 p.m. $8 R

$10 N

Sit to Get Fit

Barcode: 41568 Monday

1/5 – 2/23 1:30 p.m.-2:30 p.m.

$60 R $72 N

Spanish – Beginning

Barcode: 41538 Tuesday

1/6 – 2/24 9:30 a.m. -10:30 a.m.

$80 R $96 N

Spanish Conversation

Barcode: 41539 Monday

1/12 – 2/23 9:30 a.m.-10:30 a.m.

$50 R $60 N

NEW! Strength and Tone

Barcode: 41976 Thursday

1/8 – 2/26 4:15 p.m.-5:15 p.m.

$56 R $67 N

Sudoku

Barcode: 39613 Friday

1/9 – 2/27 1:00 p.m.-2:00 p.m.

$8 R $10 N

Tai Chi Barcode: 41581

Wednesday 1/7 – 2/25

9:00 a.m.-9:50 a.m. $16 R $19 N

Tai Chi Chih/Qi Gong Barcode: 41603

Tuesday 1/6 – 2/24

10:30 a.m.-11:30 a.m. $16 R $19N

Ukulele, Advanced Barcode: 41565

Tuesday 1/6 – 2/24 3:45 p.m.-5:00 p.m.

$90 R $108 N

Ukulele, Beginners Barcode: 41564

Tuesday 1/6 – 2/24 2:30 p.m.-3:30 p.m.

$90 R $108 N

Writing Group Barcode: 41461

Friday 1/9 - 2/27

10:00 a.m.-12:00 p.m. Free

Yoga Barcode: 41551

Monday 1/5 – 2/23

11:00 a.m.-12:15 p.m. $60 R $72 N

Yoga Barcode: 41552

Monday 1/5 – 2/23

12:30 p.m.-1:45 p.m. $60 R $72 N

Yoga Barcode: 41553

Wednesday 1/7 – 2/25

8:15 a.m.-9:30 a.m. $80 R $96 N

Zumba Barcode: 41970

Monday 1/5 – 2/23

4:15 p.m.-5:15 p.m. $56 R $67 N

Register (X)

Participant Initials HEALTH AND WELLNESS PROGRAMS Date Time

(approximate) Fee

Welcome to Medicare Barcode: 43099

Saturday Jan 10

10:00 a.m.-12:30 p.m. Free

Welcome to Medicare Barcode: 43100

Saturday Feb 14

10:00 a.m.-12:30 p.m. Free

TOTAL FEES PAGE 1 $

TOTAL FEES PAGE 2 $

TOTAL FEES PAGE 3 $

TOTAL FEES $

Senior Issues Sub-committee Meeting in 2015 Wednesday, January 28

REGISTRATION INFORMATION Mail or drop off your registration form to the Danville Senior Center or the Danville Community Center. All resident registrations received by December 9 at 5:00p.m. will be processed beginning Wednesday, December 10 with no priority given. Non-resident registration will begin on Friday, December 12. Phone and walk-in registration will begin on Monday, December 15. To register by phone, please contact the Danville Senior Center (925) 314-3490. Senior Sneaker Trips Times listed for each Senior Sneaker trip are approximate. Checklists will now be emailed one week prior to date of trip with exact meeting time. Senior Sneaker Trip Refund Policy: When registration falls below the minimum enrollment required, it may be necessary to cancel a trip. At the time of cancellation, the Town will initiate a full refund. Please allow 3 to 4 weeks for refunds to be processed. Withdrawal and refund requests must be submitted five working days prior to the trip. Refunds will not be given for trips designated (no refund). Senior Sneaker Trip Registration Priority: Due to the high demand of the Senior Sneaker program, seniors will be limited to registering for two trips per month, or a total of four per issue of the Silver Streak newsletter. When choosing your trips, please number them in order of priority. Class Cancellation/Withdrawals Requests for withdrawal will be honored if requested no later than 5 business days prior to the first day of class. Requests made less than 5 business days prior to the first day of class must be submitted in writing and will be considered on an individual basis. A $20 processing fee will be charged for check refunds; a $5 processing fee for credit card refunds. Make-up Classes Whenever possible, make-up classes will be given on those occasions when inclement weather or instructor illness requires that a class be cancelled. No refunds (whole or partial) can be given for classes missed by the student. In Case of Emergency: Please call Senior Services to verify that your emergency contact information is current. Since prompt medical care is crucial in an emergency, the Town would like to ensure we have the most current information for each participant.

If you wish to register by mail, complete the form and mail with payment to:

Danville Senior Center Attn: Class Registrations 115 E. Prospect Avenue

Danville, CA 94526

Checks payable to: Town of Danville (Circle One): Check Cash (exact amount) MasterCard Visa AMEX

Name (s): _____

Address/City_____________________________________________________________________________________________Zip:

E-Mail Address: ____________________________________________________________________________________________________________________

Home Phone: ________________________________________________Cell Phone:

Credit Card No: ________________________________________________________________________________Exp.Date: _______________________

Signature: _