Mindful Taichi: A 4-Week Journey for Balance, Culture, and Well-Being Registration Form
Join us for a 4-week live online program in honor of AAPI Heritage Month and Mental Health Awareness Month. Through gentle Taichi practice, you will learn simple ways to release tension, improve balance, and cultivate calm and awareness in daily life.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Which option are you registering for?
*
Full 4-week program (8 sessions)
Individual sessions (if available)
How did you hear about this program?
Please Select
Email invitation
Workplace / ERG
Social media
Friend / colleague
Other
Do you have prior experience with Taichi or mindfulness practice?
Yes
No
What are you hoping to gain from this program?
Stress reduction
Improve balance and posture
Learn something new
Cultural understanding (AAPI Heritage Month)
Mental well-being
Other
Any physical considerations we should be aware of? (Optional)
Would you like to receive reminders and follow-up resources?
Yes
No
Program Fee
*
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( X )
Full program (8 sessions)
$
100.00
Quantity
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10
Individual session(s) ($15 per session)
$
15.00
Quantity
1
2
3
4
5
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8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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