West Coast Taijiquan Association

Carrowgar,

Ogonnelloe

Near Scarriff

Co. Clare

Tel: (061) 923023

Class Registration Form

 

 

Name :     …………………………………………..                            Age : ………….

 

Address :  ………………………………………..…       Email Address :  ……………………………….

        

                   …………………………………………..

    

                   …………………………………….…….

 

Telephone Number(s)………………….......……(Home)      ………………….......………(Mobile/Work)

 

I would like to register as a member of the West Coast Taijiquan Association. I agree to conduct myself in all matters relating to the association

       in a manner duly respectful of all others concerned.

I agree to make my teacher aware of any illness, injury or circumstances that might warrant their attention.

I understand that to obtain maximum benefit from my taiji (tai chi) classes I will need to practice each day what I have been taught.

I agree to make payment for each 10 week term of €130, payable before the start of each term. I understand that this is non-refundable.

 

 

 

Signed……………………………….              Date……………………..

 

DEPOSIT / PAYMENT FOR NEXT CLASS

 

I enclose a deposit of €50 to reserve a place in the (taiji) tai chi class starting on …………………………………  at  ………pm  at the Mechanics Institute, Hartstonge Street, Limerick

 

Please indicate by circling one of the items below where you found out about the class:

 

a. By word of mouth     b.. Limerick Post    c. Online    d. Poster             e..  Other  ………………………..

                                                            Thank you, Nick Gudge