Registration in Person Please – at JCC SeniorNet Center1466 Manor Road, SI, NY 10314Between the hours of 10 AM – 2 PM Sunday June 29, 2008 Priority Placement given to in-person registration Mail registration will be accepted Students wishing to repeat a course will be accepted if there is space after 1st time students are registered, otherwise they will be requested to wait for the next session. Application Form and Fees Please complete this form and bring it with you when you register
Name_______________________________________________________________________Address_____________________________________________________________________ Zip______________________________Phone______________________________________ Visually Impaired ________________ Physically restricted __________________________ Please indicate Class Choice (s) Class 56-A____ Class 56-B_____ Class 56-C______ Class 56-D______ Class 56-E______
Class 56-F____ Class 56-G_____ PLEASE BRING ONE CHECK FOR THE TOTAL FEE DUE (Make check out to “JCC Seniornetwork”)
1) 2) 1. JCC-SeniorNet Course Fee Classes A-I (per course) JCC member $40_______ **Not a member of the JCC $55_______ plus
3) 2. Manual for each course if applicable $20______
Total due (1 plus 2) $ _______
**$15 of each $55 non-membership course fee will be credited if JCC membership is obtained by Friday July 11, 2008
Limited Scholarships Available - Applications for scholarship must be received one week before registration. Call or use the web to secure a scholarship application. Click Here for Scholarship Application
For more information phone the Bernikow Jewish Community Center at 718-475-5200 our ext. is 1182 or use the web http://www.seniornetsi.org - e-mail address: info@seniornetsi.org |
| Return to Mel Gluckstern at the In-Person Registration |
| Priority placement given to in-person registration - Mail-In registration will be accepted |
| For more Information call 718-475-5200 Ext. 1182 |
| Make Checks payable to SeniorNet of Staten Island | Registration Requirements: Age 50 or Older |
| Membership to JCC not required for SeniorNet | Scholarships available |
| * Member of JCC get a $ 15.00 discount for each course and is not required for SeniorNet. There are advantages not only including the reduced charge for classes but the use of all the facilities and opportunities offered by the JCC at either of their centers - swimming pool, gymnasium, arts & crafts, aerobics, poetry classes, trips, yoga, lectures etc. | |
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