Tai Chi Chuan Class Mail In Registration

Name:______________________________________Phone: ________________Date: _______

Address: ______________________________________________

City: ___________________________________ State: _____ Zip: __________

E-mail:______________________________

Class: Beginners:     Scheduled starting Date: Monday January 13, 2025

11:00 A.M.-12:00 P.M.

Class will be canceled if minimum enrollment not achieved. No refunds after the first class.

8 classes ---$80.00

Amount Enclosed:___________