• Monthly & Annual Subscriptions: Weekly Qigong Class

    Use this form for any Annual Membership: Paid Monthly; Paid Annually: & Senior/Student Discounts. You must fill out this form, sign & pay to be enrolled. You will receive your Zoom link & program details in an email after completing the form.
  • Format: (000) 000-0000.

  • Subscribe for awesome bonuses! Two plans are available:

    prevnext( X )
            Annual Subscription Billed Monthly (One Year Commitment)

            Bonuses: 1) 1 Free 40-minute consultation per year subscribed with Dr. Chen. 2) 1 Free Online Bigu Retreat per year subscribed (You can also apply this value toward an in-person retreat if you prefer). 3) 8 complimentary Qigong Sunday Class Passes for your friends & family. Getting these bonuses is dependent on making a one-year commitment, billed monthly. Once you subscribe, you will be billed monthly for 12 months for weekly access to the Qigong class.

            $58.00$58.00 for each month
              
            SENIOR/STUDENT Annual Subscription Billed Monthly (One Year Commitment) 2

            Are you 65+ or an actively enrolled college student? Choose this option for an $8 per month savings on this "Annual" subscription to Sunday Qigong classes, billed monthly. Includes class recordings. Bonuses: 1) 1 Free 40-minute consultation per year subscribed with Dr. Chen. 2) 1 Free Online Bigu Retreat per year subscribed (You can also apply this value toward an in-person retreat if you prefer). 3) 8 complimentary Qigong Sunday Class Passes for your friends & family. Getting these bonuses is dependent on making a one-year commitment, billed monthly. Once you subscribe, you will be billed monthly for 12 months for weekly access to the Qigong class.

            $50.00$50.00 for each month
              
            Annual Subscription Billed Annually ($196 Savings)

            Bonuses: 1) 1 Free 40-minute consultation per year subscribed with Dr. Chen. 2) 1 Free Online Bigu Retreat per year subscribed (You can also apply this value toward an in-person retreat if you prefer). 3) 8 complimentary Qigong Sunday Class Passes for your friends & family. Once you subscribe, you will be billed annually unless you write us at qigong4us@hotmail.com before your annual subscription ends to request cancellation.

            $500.00$500.00 for each year
              
            SENIOR/STUDENT Annual Subscription Billed Annually ($196 Savings) 2

            Are you 65+ or an actively enrolled college student? Choose this option for $50 in savings per year on this yearly subscription to Sunday Qigong classes. Includes class recordings. Bonuses: 1) 1 Free 40-minute consultation per year subscribed with Dr. Chen. 2) 1 Free Online Bigu Retreat per year subscribed (You can also apply this value toward an in-person retreat if you prefer). 3) 8 complimentary Qigong Sunday Class Passes for your friends & family. Once you subscribe, you will be billed annually unless you write us at qigong4us@hotmail.com before your annual subscription ends to request cancellation.

            $500.00$500.00 for each year
              
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          • Where did you hear about this Qigong class?*
          • What are your main reasons for coming to Qigong class (check all that apply)

          • Medical Disclaimer and Liability Waiver

            I acknowledge and agree that the Qigong Classes, Bigu Retreats, Medical Qigong, Consultations and any other classes, workshops, retreats, tours, or recorded programs offered by Dr. Kevin W Chen and his associates (collectively referred to as “Programs”) are intended solely for educational and wellness purposes. These Programs are not medical treatment and do not provide medical advice, diagnosis, therapy, or prescription.

            Consultation with Healthcare Provider
            I understand and agree that it is my sole responsibility to consult with a licensed physician or other qualified healthcare practitioner regarding my current health status, medical conditions, or any concerns prior to participating in any of the Programs. I affirm that I will seek medical clearance if I have, or believe I may have, any physical or mental health concerns, or if I am pregnant, recovering from illness, injury, surgery, or taking medications. My participation signifies that I have either obtained such medical clearance or have voluntarily chosen to participate at my own risk.

            Assumption of Risk and Release of Liability
            I understand that participation in these Programs may include physical movement, breathing exercises, meditation, fasting, or dietary changes, all of which carry inherent risks, including but not limited to physical discomfort, dizziness, injury, or worsening of existing conditions. I voluntarily assume full responsibility for all risks, both known and unknown, associated with my participation.

            In consideration of being permitted to participate, I knowingly, voluntarily, and expressly release, waive, discharge, and hold harmless Dr. Kevin Chen, his staff, associates, and any sponsoring or affiliated organizations from any and all liability, claims, demands, actions, or causes of action, including those arising from negligence, that may result from my participation in any of the Programs.

            I further agree to indemnify and hold harmless Dr. Kevin W Chen, his staff, associates, and all affiliated entities from any and all claims, damages, losses, or expenses, including attorney’s fees, arising out of or related to my participation, to the fullest extent permitted by law.

            This agreement shall be binding upon me, my heirs, executors, administrators, successors, and assigns. By signing below, I confirm that I have read, understood, and voluntarily agree to this Medical Disclaimer and Liability Waiver, and I acknowledge that I have been advised to seek medical consultation before participation.

             

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