For assistance with
your registration, call
815-939-5258
M-F from 8-4:30.

 

Prime Time Day / Grandparents Day

Thursday, October 8, 2015
9:00 am - 3:30 pm / 6:30pm
Chalfant Hall, ONU Campus

To register and pay for Prime Time Day and/or Grandparents Day, please provide information and selections for each member of your party below.

  First Name Last Name  
Your Name  
Address  
City, State, Zip      
Phone    
Email Address  
Confirm Email  
Events I will attend the Prime Time Day program (9am-3:30pm, $ 24)
I will attend Grandparents Day dinner (6:30pm, $ 12)
Number Attending: Total Cost:  
Describe any special needs we should be aware of, such as wheelchair access, etc.

 
  First Name Last Name  
Card Holder Name  
Billing Address  
City, State, Zip      
Email for Receipt    
Card Type    
Card Number  
Card Security Code     What is this?
Expiration Date       
CHARGE AMOUNT :