Tai Chi Registration Form

Your comments are appreciated!

Just complete this form. Click on Submit when ready to send.

**Please note: If you don't fill in your name and email address, I can't respond to you!

*Your name:

Your FULL address:

*Your e mail address

Why Are You Interested In Tai Chi?

fitness
centering
coordination
self-defense
other, will comment below

Do You Need Help Finding The School?

yes, I need help

no, I know where it is

I Am Submitting This Form Because I Want To:

register for class

further information, please contact me

 

Any Special Comments You Wish To Make?

 If this form does not submit - please use e mail in the middle of

Home Page for contact. Thank You!

Be very careful typing the box below. Click submit once. Thank you for your inquiry!