Online Tai Chi Form

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email *

What are your goals

Preferred time of class

Morning
Afternoon
Evening

Level of Tai Chi experience

Beginner
Intermediate
Advanced

One 50 minute class per week @ four weeks per month = $60.00

1 month
2 months
3 months or more

I will contact you in the next 24 hours to discuss your class schedule. Thank you.

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