OLLI at UConn Summer Event Form | Osher Lifelong Learning Institute

Organization Information

Name of Organization(Required)

Please provide us with the full name of the organization. If there is an abbreviated version, then please provide that at the end in parentheses.

Organization's Website

In case we'd like to provide more info to members about the organization, please provide us with their website (if they have one).

Organization's Address

Street Address City State ZIP Code

Point-of-Contact Name(Required)

First Last

Who is the person from the organization (not OLLI) that is helping to coordinate this trip?

Point-of-Contact Email Address(Required)

In case we have to reach out to anyone from the organization, please provide us with the email address for the point-of-contact.

Point-of-Contact Phone Number(Required)

In case we have to reach out to anyone from the organization, please provide us with the phone number for the point-of-contact.

Trip Information

To ensure that the OLLI office has all of the necessary information for this trip, please fill out the following fields.

What year will this trip be offered in?(Required)

Example: 2023

Trip Title(Required)

Trip Description(Required)

Please describe to us what this trip is about.

Trip Day of the Week(Required)

Which day of the week is this trip on?

Trip Date(Required)

Trip Start Time(Required)

Trip End Time(Required)

Will this trip have a rain date?(Required)

Rain Date - Day of the Week(Required)

Which day of the week is this trip's rain date on?

Rain Date - Trip Date(Required)

Rain Date - Trip Start Time(Required)

Rain Date - Trip End Time(Required)

Trip Location(Required)

Street Address City State ZIP Code

Please provide us with the address of where the trip is to so that we can communicate this to members.

Maximum Registrants Allowed(Required)

What is the total number of registrations allowed for this trip?

Please provide any additional information, notes or special requests.

Financial Information

In case the OLLI office has to make a payment to the organization, please fill out the following fields.

Is there an entrance fee for this trip?(Required)

What is the entrance fee?(Required)

Is there a parking fee for this trip?(Required)

What is the parking fee?(Required)

Are there any other associated fees for this trip?(Required)

Other than possible entrance and parking fees, do you know if there are any other fees?

What are the other associated fees?(Required)

Please note any other fees in this field.

What is the total expected cost for this trip for each registrant?(Required)

Please provide us with a total figure to the best of your ability.

Does this organization offer a bundle deal for "x" number of registrants in a group?

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Comments

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