SPARK ENROLLMENT FORM
PLEASE REGISTER BY January 18, 2017
Name ____________________________________________________
Date ___________________
Preference on Name Tag _____________________________________________________________
Address _____________________________
Telephone _________________________
Annual Membership
Jan 1, 2017 to Dec 31, 2017
City _______________
Zip __________
Email _________________________________________
$40
Already a member
Membership is required to register for SPARK class
MONDAY
The Second American Revolution $30
Understanding the Bible
Reader’s Theater
$30
State _____
New Member?
Yes
No
If you are a new member, please tell us how
you learned about SPARK?
__________________________________
No Thanks
Click the box if your contact information has changed.
$30
No Thanks
No-Fee Activities (Membership is Required)
Thursday Book Group
No Thanks
TUESDAY
Western Civilization: Second World War
$30
Kansas City Gems (All 6 Classes) $25
No GEMS For me
(Individual Classes $5 each)
 Get Organized. Get Focused. Get Moving. $5
Western Civ Tuesday
Margaret Sturges’ Book Group
Lunch and A Book
No Thanks
 The Latter Years of Eleanor Roosevelt
$5
No Thanks
 Kansas City - Midtown Neighborhood
$5
KC Midtown
 Connecting in the Land of Dementia
$5
Dementia Connections
Let’s Eat Out
SPECIAL TOUR EVENTS
*FRIDAYS
2/3 Tour of KCPT
SPARK KCPT Tour
$10
Toy Museum Tour
 Art Tour: Bridging Cultures Through Art (1)$5
 Art Tour: Bridging Cultures Through Art (2)$5
WEDNESDAY
Western Civilization: Second World War
SE ASIA
$20
Southeast Asia
$25
Through Native Eyes: The World Today
THURSDAY
Psychology Potpourri
$30
Nelson-Atkins Museum Art Tours
Films: Academy Awards of 1970s
$30
$30
Art Tour1
Art 2 Tour
2nd World War Wednesday
Native Eyes
2/10 Tour of Toy Museum
$10
PLEASE REGISTER BY January 18, 2017
Will you support SPARK with a tax-deductible gift
to help defray our on-going operational costs,
such as printing, postage and special events?
Thank you!
Tax Deductible SPARK Contribution:
Psychology Potpourri
$30
$30
Nelson - Atkins Tour
DO NOT WRITE IN THIS SPACE
IT IS FOR OFFICE USE ONLY
Academy Award Films
Computer: Step into Microsoft Office (All 6) $50
(Individual Computer Classes $10 Each)
Word
$10
MS Excel
Excel
$10
PowerPoint
$10
MS OneNote
OneNote $10
Outlook
$10
MS Publisher
Publisher $10
TOTAL COST OF CLASSES:
Step into Microsoft Office
MS Word
CHECK # ________
SPARK CHECK # ________
CASH $................................_________
MS Power Point
MS Outlook
Total of all items selected,
membership, classes, parking tags
and SPARK contribution:
SUBMIT
20
20
Parking Tags
Enter number parking tags needed (1 PER DAY):
0
Total for Parking Tags: $3 each (# tags x 3):
Cost of Parkng Tags
Please make checks payable to: SPARK
Submit to: UMKC/SPARK
4825 Troost Room 214D
RESET
Kansas City, MO. 64110