![]() |
Seminar 2001 Registration Form | |||
|
Traditional Yang Style Tai Chi Chuan, Tai Chi Saber and Advanced Form Corrections with Master Yang Zhenduo and Master Yang Jun San
Antonio, Texas
|
Enclose
your registration form (please fill in ALL information) and a check or
money order (US Dollars Only) payable to: Yang Chengfu Tai Chi Chuan 120 Blue Star #1 San Antonio, Texas 78204, USA |
|||
PARTICIPANT INFORMATION (Please Print)
| NAME | _____________________________________________________ | DAY TEL | ________________________ |
| ADDRESS | _____________________________________________________ | EVENING TEL | ________________________ |
| CITY | ______________________________ STATE ____ ZIP ________ | COUNTRY | ________________________ |
| _____________________________________________________ | FAX | ________________________ | |
| TAI
CHI CHUAN EXPERIENCE (PLEASE TELL US ABOUT YOURSELF): YEARS OF PRACTICE?, STYLE?, DO YOU TEACH?, ETC. |
|||
|
________________________________________________________________________________________________
|
|||
|
________________________________________________________________________________________________
|
|||
|
________________________________________________________________________________________________
|
|||
| TUITION PAYMENT | |||||||
| July 4-10 | (seven days special discount - $80 per day) | $ 560.00 | |
||||
| July 4- 7 | (four days) | 103 postures | $ 360.00 | ||||
| July 8 -9 | (1.5 days) | Advanced
Form Corrections * |
$ 135.00 | ||||
| July 9-10 | (1.5 days) | Saber Form | $ 135.00 | ||||
| Any single day (specify date ______/______/______) | $ 100.00 | ||||||
| Registration fee (non refundable) | $ 20.00 | 20.00 | |||||
| Subtotal | |||||||
|
Membership #_____________________
Discount
________
% |
- | Discount | |||||
|
|
Tuition Total | ||||||
| * PREREQUISITE: Students must complete the July 4th - 7th Long Form class before taking this class. | |||||||
| ROOM
EXPENSE PAYMENT Please note: There is no discount for the cost of Room Expense. If you are an Association Member, apply your discount to the Tuition price ONLY. |
|||||||
| Single occupancy rooms | $
36.00
|
Room Total | |||||
| Arriving evening of ______/______/______ | |||||||
| Departing morning of ______/______/______ | |||||||
| Tuition + Room | Grand Total | ||||||
| AIRPORT PICKUP | |||||||
| Airline | _________________________________ | ||||||
| Flight Number | _________________________________ | ||||||
| Date and time of arrival | _________________________________ | ||||||
Signature |
|||||||