Burke/West Springfield Senior Center Without Walls Winter 2015 Session REGISTRATION

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Burke/West Springfield Senior Center Without Walls Winter 2015 Session REGISTRATION BEGINS: 1/27/15 REGISTRATION ENDS: 1/30/15 CLASSES BEGIN: 2/3/15 CLASSES END: 3/28/15 REGISTRATION No registrations will be accepted before 8:30am on January 27 th. Only one proxy registration per person will be accepted. Classes are filled on a first-come-first-served basis. Mail-in registrations will be processed after walkin registrations on first day of registration. For classes that have a maximum class limit it is suggested you register in person due to classes filling up quickly. WALK-IN 1 st Day of registration: 8:30am-11am Kings Park Library Meeting Rm 9000 Burke Lake Road Burke, VA 22015 11:30am-5pm Pinn Community Center 10225 Zion Drive Fairfax, VA 22032 MAIL: Mail registrations to: SCWOW 10225 Zion Drive Fairfax, VA 22032 Classes are $5.00 per 8-week session for Fairfax County Residents $10.00 for non-residents Make checks payable to NCS Questions or comments: Please call 703-250-9181 or email burkewestspringfieldcwow@fairfaxcounty.gov Inclement Weather: If Fairfax County Public Schools are CLOSED or DELAYED, classes are CANCELLED for the day

Please take a look at the Spring Session Class Offerings and register by following the rules below. Registration: 1. Begins January 27 th ; no registrations will be accepted before 8:30am on this date. 2. The registration period will END January 30 th for all classes with a class size limit. 3. Only one proxy registration per person on registration day. 4. Classes are filled on a First-Come First-Served Basis. 5. Each class costs $5.00 per 8-week session for residents of Fairfax County, $10.00 for non-residents (except where indicated). 6. Only in-person or mailed registrations will be accepted. No emailed registrations will be allowed. 7. In cases where two Sections of classes are being offered (with the exception of Line Dancing and ZUMBA), participants will only be allowed to register for one Section. On your registration form, please indicate which Section you prefer by placing a 1 in your first choice and a 2 in your second choice of Sections. 8. If classes become full, your registration will be placed on a Waitlist. Waitlisted participants will be filled on a first-come first-served basis. 9. Complete entire registration form PLEASE PRINT LEGIBLY! 10. Checks should be made out to NCS. 11. Receipts will be made available on 1/28 at the Pinn Community Center 12. Classes begin the week of February 3 rd and end the week of March 23 rd (unless otherwise noted).

Section I Relax, have fun, increase flexibility and maintain health through breathing and the gentle movements of Tai Chi, Chi Kung and Yoga. Wednesdays Instructor: Hedi Kamai/Kris Brinker Location: Woods Community Center 10100 Wards Grove Cr., Burke 22015 Time: 1pm 2pm Tai Chi Exploration Section II This section builds upon the beginning Tai Chi and adds new movements and techniques. Recommended for students who have previously enrolled in Tai Chi. Wednesdays Instructor: Hedi Kamai/Kris Brinker Location: Woods Community Center 10100 Wards Grove Cr., Burke 22015 Time: 2:15pm 3:15pm You may only register for one class per session. This class has a maximum limit of participants. YOGA This class offers participants the opportunity to learn basic Yoga postures while building strength and increasing endurance and flexibility. Always wanted to try Yoga? This is the class for you. Bring a mat and wear loose comfortable clothes. Wednesdays Fridays Instructor: Janet Guzzano Location: Oaks Community Center 5708 Oak Leather Dr., Burke 22015 Time: 9:30am 10:30am Instructor: Janet Guzzano Location: Oaks Community Center 5708 Oak Leather Dr., Burke 22015 Time: 10:30am 11:30am Instructor: Janet Guzzano Location: Oaks Community Center 5708 Oak Leather Dr., Burke 22015 Time: 9:30am 10:30am You may only register for one class per session. This class has a maximum limit of participants. Zumba Zumba Fitness program is an exhilarating, effective, easy-to-follow, Latin-inspired, calorie-burning dance fitness-party that s moving millions of people toward a healthier lifestyle. Instructor: Gail Brown Location: Seoul Presbyterian Church 6428 Ox Rd., Fairfax Station 22039 Time: 12:30pm 1:30pm Thursdays Instructor: Gail Brown Location: Seoul Presbyterian Church 6428 Ox Rd., Fairfax Station 22039 Time: 11am 12pm

Line Dance Club Everyone is welcome to this fast-paced Line Dance Club and beginners are highly encouraged. Under Cathy s spectacular guidance, participants will get the dancing workout of a lifetime. Thursdays Saturdays Instructor: Cathy Byon Location: Abiding Presence Lutheran Church 6304 Lee Chapel Rd., Burke 22015 Time: 10am 12pm Instructor: Cathy Byon Location: Irving Middle School 8100 Old Keene Mill Rd., Springfield 22152 Time: 10am 12pm Line Dance Club All abilities are welcome to this fast-paced Line Dance Club. Under Susie s spectacular guidance, participants will get the dancing workout of a lifetime. Fridays Instructor: Susie Thomas Location: Durga Temple 8400 Durga Pl., Fairfax Station, 22039 Time: 10am 12pm Instructor: Susie Thomas Location: Durga Temple 8400 Durga Pl., Fairfax Station, 22039 Time: 10:00am 12pm Basic Beginners This Class is suitable for those newcomers who have little or no prior line dancing experience. The emphasis is on learning, having fun, and acquiring knowledge of basic line dancing steps and patterns. Fridays Instructor: Jackie Schroeder Location: Burke United Methodist Church 6200 Burke Centre Pkwy., Burke 22015 Time: 10am 11:30am Line Dance Experienced Beginners This Class builds on the Basic Beginner class and is designed to provide additional age-appropriate line dancing skills. The emphasis continues to be on having fun, enjoying new steps and dances, as well as staying active. Fridays Instructor: Jackie Schroeder Location: Burke United Methodist Church 6200 Burke Centre Pkwy., Burke, 22015 Time: 12pm 1:30pm You may only register for one class per session.

Hula Dancing This intermediate-level class will focus on basic foot and hand movements integrated into simple choreography. A fun and low-impact exercise! Prior Hula dance experience is suggested. Wednesdays Instructor: Vivian Takafuji Location: Ekoji Buddhist Temple 6500 Lakehaven Ln., Fairfax Station 22039 Time: 10am 11:30am This class has a maximum limit of participants. Ballroom Dancing This dance class meets the needs of beginners to advanced intermediate. Class introduces and practices all dance types including Waltz, Foxtrot, Tango, Rumba, Cha-cha and East Coast Swing, etc. Instructor: Adam Whitley Location: Little River Glen Senior Center 4001 Barker Ct., Fairfax 22031 Time: 2:30pm 4pm This class has a maximum limit of participants. Self-Defense for Seniors This introductory class to the basics of self-defense is fun and engaging. Participants will focus on strength and coordination. Instructor: Jim Harrison Location: Woods Community Center 10100 Wards Grove Cr., Burke 22015 Time: 12:30pm 1:30pm No Class 2/24, 3/24 this class will extend to 4/7 This class has a maximum limit of participants.

NO REGISTRATION REQUIRED Walking Club Square Dancing Come join our friendly walking group for senior men and women. We now walk three days a week around beautiful lake venues. Have fun, stay healthy, and enjoy the camaraderie! Mondays: Lake Royal (Lakeside Park entrance at Bronte and Pommeroy Dr.) Thursdays: Lake Royal (Lakeside Park entrance at Bronte and Pommeroy Dr.) Saturdays: South Run Rec Center Parking Lot Dates: Continuous Time: 8am For more information contact Jerry Cantor: 703-342-8852 Come and enjoy the time-honored tradition of square dancing. Along with a light workout, participants will learn steps and calls common in square dancing. Instructor: Butch Adams Location: Greenspring Retirement Center 7410 Spring Village Dr., Springfield 22150 Date:, on-going For more information, contact Greenspring Retirement Center 703-436-4515 Mah Jong Group Join past CWoW class members in the American Style of Mah Jong. Some prior experience is recommended but everyone is welcome. Location: Pinn Community Center 10225 Zion Dr., Fairfax, 2203 Dates: Time: 10:30am 1:30pm Eclectic Readers of CWOW A book club for casual people. For more information contact Cora Foley: corazonfoley@yahoo.com Ancestry 101 Get a good start on your genealogy research. Learn how to interview family and friends, cite sources, maintain good records, organize your data, create a research strategy, organize your data and plan for future research. Program offered in partnership with Fairfax County Public Library Virginia Room, Fairfax County Genealogical Society and the Burke/West Springfield Senior Center Without Walls. Speaker Series Guided Practice Date: Second Friday of August, October, December, February, April, June Time: 1pm 3pm Dates: Second Friday of September, November, January, March, May, July Time: 1pm 3pm For registration information and a listing of topics, please visit: www.scwow.org

Burke/West Springfield Senior Center Without Walls Winter 2015 Last Name: First Name: Phone (primary): Address: / / (City) (State) (Zip) Email: Emergency Contact: (Name) (Phone) Photo Release: By signing this form, I give permission to be photographed and/or videotaped by NCS or the media for use in publicizing NCS programs and services. Liability Waiver: I recognize that there are risks inherent in participating in recreational activities and agree to hold harmless the County of Fairfax, Department of Neighborhood and Community Services (NCS), and their officers, employees, and volunteers from any and all claims for bodily injury and/or property damage that result from my participation in any activity in this pilot program. Registration Information Release: Registration information provided to the Fairfax County Neighborhood and Community Services is public record and as such may be released under the Virginia Freedom of Information Act unless the participant specifically requests that this information not be released. Check here if you DO NOT grant NCS permission to release your information. Signature Tuesday Yoga Wednesday Yoga Friday Yoga Class Tai Chi (Section I) Tai Chi (Section II) Tuesday Line Dance Club Friday Line Dance Club Thursday Line Dance Saturday Line Dance Friday Line Dance Basic Beginner Friday Line Dance Experienced Beginner Self-Defense Hula Dancing Tuesday ZUMBA Thursday ZUMBA Ballroom Dancing Date Date and Time Tues. 9:30am 10:30am Wed. 10:30am 11:30am Fri. 9:30am 10:30am Wed. 1pm 2pm Wed. 2:15pm 3:15pm Tues. 10am 12pm Fri. 10am 12pm Thurs. 10am 12pm Sat. 10am 12pm Fri. 10am 11:30am Fri. 12pm -1:30pm Tues. 12:30pm 1:30pm Wed. 10am 11am Tues. 12:30pm 1:30pm Thurs. 11am 12pm Tues. 2pm 3:30pm Official Use ONLY Per Class $5 County Resident $10 Out of County Total $ Receipt Date Received From Payment Amount Cash $ Check $ # Received By