JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Registration Form for 202306 TIMA-Canada Chuang Style YNSA Workshop @Vancouver
莊派頭針基礎入門與深度進階 二合一研習班 線上報名平台
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
中文姓名Chinese Name (if applicable)
Your answer
研習證書姓名 (Full Name for Certificate)
*
Your answer
Gender 性別
*
Male 男
Female 女
Contact Phone Number
*
Your answer
Email
*
Your answer
Your current status in medical profession?
*
Active Practitioner 現執業中醫師或針灸師
Inactive practitioner 中醫師，但已退休或目前暫未執業
TCM Student 在學學生
Other health care provider 其他醫療專業人員
Other:
Practitioner or Student License No.執業醫師或學生註冊號
Your answer
Are you a current TIMA Member? 您是慈濟人醫會的成員?
*
YES
Not yet, but I would like to join now. 還不是，但我想加入(Please go to the link:
https://goo.gl/forms/vw14mU68YMVAGjIx2
)
NO
Language preference (for preparing translation ) 聽課語言偏好(為方便準備翻譯)
*
English ONLY
Mandarin ONLY 中文
Both fine (中英文都可以)
Current Residence *您目前的所在地
*
(BC)-Greater Vancouver
Ontario
Canada - others provinces
USA & others countries
Tuition Fee 繳費類別
*
Choose
$400, Regular practitioner or other Health Care Provider 中醫針灸師或其他醫療人員
$199, Return Participant 曾參加過之前YNSA課程的舊生
$199, TIMA member 慈濟人醫會的醫師會員
$99, TCM Student or TA team member 學生，and 助教團隊
Would you like to attend the Foundation Review section (June 24 morning+afternoon) ? 是否參加6/24白天的基礎複習課程（不另收費，但須登記以便分組）
*
Yes, both the Foundation and Advanced Seminars 基礎複習跟進階都參加
No, only attend the Advanced Seminars 只參加進階課程
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
