Blue Ridge Tai Chi Registration Form

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This registration form is to sign up for one of our classes.

Which class(es) do you want to register for? *

Beginning Form, First Third, starts May 4th, 9a-10a ET, at Tabor Church in Crozet, $140.

Required

First Name *

Last Name *

Email Address *

Phone Number (Include Area Code) *

I take responsibility for my own health/wellbeing in participating in these classes. I participate at my own risk.
*

Yes

I know to make sure I am working in a space clear of obstructions or conditions adverse to this work.
*

Yes

I am aware that nothing in these sessions are intended as medical guidance.
*

Yes

Which of the following best describes your experience with tai chi:
*

Is there anything you would like to share with us about your interest in this class?
*

Payment Option *

Venmo: Click here to send payment or scan the QR code: https://account.venmo.com/u/brtcclass

Check: You'll receive an email from blueridgetaichi@gmail.com with the mailing address

Cash: Please bring it with you to your first class.

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