Registration Form

Welcome to Lotus Tai Chi

Registration form & Waiver
**Registration is a commitment to attend, as space is limited and each class is carefully prepared in advance. Please sign up only if you are certain you can be present.

If you are unable to attend, please let us know at least 48 hours before class so another student may participate.

We understand that life happens. However, consistent no-shows without communication may lead to removal from the registration list. You will be always welcome to re-enter your registration until space can be reliably honored.
Select your class
Full Name

First NameLast Name
Day of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Phone Number

Area CodePhone Number
E-mail
example@example.com
Your zip code
Previous Tai Chi or Qigong Experience
If your answer was YES, how long?
What kind of Tai Chi Style do you practiced
Do you have any physical limitation?
If your answer was YES, tell us about it
Emergency contact

First NameLast Name
Emergency contact phone number
Emergency Contact relationship
If you choose Tai Chi. Why are you interested in learning it?
If you choose Qigong. Why are you interested in learning it?
How did you know about us
Uniform T-shirt order for Tai Chi

The Lotus Tai Chi t-shirt with a logo is required for students attending Tai Chi & Qigong classes.
Price is $35. Bring the payment to your first class. Payment methods: cash, check or Zelle. The order will be place with the payment received. T-shirt will be deliver the next following class
Bring the payment to your first class.
Minors under the age of 18 must have a parent or legal guardian sign the waiver on their behalf.

Parent or Legal Guardian First NameParent or Legal Guardian Last Name
LOTUS TAI CHI WAIVER AND RELEASE FORM

Please, print and sign the form in the link below and bring it with you to your first class. You will join the class only if you have it with you. Thank you!

Download Lotus Tai Chi Waiver
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Welcome to Lotus Tai Chi