Online Registration

Submit an online registration and we will send you our Course Intake information, fees and payment instructions for your consideration. Your registration will only be confirmed when full fees payment are made, and a confirmation email is sent to you. Information provided in this form will be held confidential and solely for course registration use only. NO TRIAL classes.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Gender

Date of Birth

YYYY

Nationality

Mobile Number

We will send all course related information to this mobile number

Emergency Contact Details

This information is important. Please provide an emergency contact person and mobile number.

My Health Status

Health Declarations Details

Please indicate in detail, if you have any health issues or injuries, if you are pregnant, or on any special medical care. Please include specific instructions from clinics / hospitals with regards to exercise regime.

Course Type

Please select your course

Taichi Fundamentals (Group)

Beginners Routine Class (Group)

Taichi Private 1 person (10 lessons)

Taichi Private Small Group (2-4 persons)

Taichi Intensive Workshop

Learning Objectives

Please share with us your objectives for learning Taichi

Course Fees Payment Terms

Replacement Class

Video Recording Rules

Mask Wearing Rules

Proper Attire

Proper Attire is required to enter the training studio

Declarations

I declare that all information provided in this Form is true and accurate:. This form is submitted by myself and I have read and understand all the above content.

All information provided here is true and accurate, and the form is submitted by myself.

I do not wish to confirm the information and will not proceed with the registration