Center States Tai Chi Chuan

BEGINNING CLASS REGISTRATION FORM

Section I

(Postures 1-18)

8 WEEKS (15 HOURS) 

DATES: September 3 – October 22, 2008

 

DAY/TIME: MONDAY & WEDNESDAY, 6:15 – 7:15 PM

COST: $225

$25 off Coupon

 

To enroll, please fill out this form and send it along with a check or money order for the full amount to Center States Tai Chi Chuan, 111 E. Gregory Blvd. , Kansas City , MO 64114.  Class fees are non-refundable and cannot be applied to any month or months other than those initially paid for.

 

 

Name_____________________________________________________

                  

Address___________________________________________________

 

___________________________________________________                   

 

Phone____________________________________ home                                                      Age_____________

 

 

Phone____________________________________ work/cell (circle one)

 

 

Email____________________________________

 

Please check with your physician or health specialist if you think there might be some restrictions on your ability to participate in Tai chi class.