Host a Taichi Class in Your Community
Interest Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address or Neighborhood (within Hamilton County, Indiana)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Space Available
Indoor room
Outdoor lawn or patio
Community center
Church / faith center
Workplace or office
Home or backyard
Other
Estimated Number of Participants
Age Range of Participants
Adults
Seniors
Teens
Intergenerational
What days/times would work best for your group?
Are you hoping for...
A one-time session
A short series (2–4 weeks)
An ongoing weekly or monthly class
Not sure yet
Anything else you'd like to share?
Submit
Should be Empty: