Traditional Yang Family Tai Chi Chuan

Hand Form Seminar

Louisville, Kentucky

13-14 November 2010

Name:

Address:

City:

State:

Zip:

Seminar Registration Form

Registration Information

E-mail:

Phone:

Int'l Association

Membership #:

Refund policy: The $20 registration fee is nonrefundable. Cancellation prior to 1 Nov. 2010 – 100% Seminar fee refunded. Cancellation between 1 Nov. and 9 Nov. 2010 – 50% Seminar fee refunded. No refunds after 9 Nov. 2010.

Registration/Payment Deadline:  1 Nov. 2010 or a $50 late fee will be added. Registrations will be accepted at the door.

Registration and Fees

Registration Fee:   $20.00  $20.00

103 Hand Form (2 days):     $220.00$242.00

Total Registration:      $240.00$262.00

Member *   Non-Member

Seminar fees do not include lodging and meals.

* Members of the International Yang Family Tai Chi Chuan Association

Seminar questions?

carl@kentuckytaichi.com or 502-693-7724

bill@kentuckytaichi.com or 859-361-2524

Seminar Location

University of Louisville, Humana Gym

2301 Bradley Avenue, Louisville. Kentucky  40217

For more information on the

International Yang Family Tai Chi Chuan Association

visit their website at

www.yangfamilytaichi.com

Statement of Release of Liability

I voluntarily submit this form to the Kentucky Yang Chengfu Tai Chi Chuan Center to participate in the 103 Posture Hand Form (Corrections) Seminar 13-14 November 2010. I understand that there is risk of injury in all martial arts training and do hereby assume full responsibility for all my actions during and in connection with this seminar. By signing and submitting this form, I assume all risk of personal injuries, disabilities or losses incurred while attending the seminar events and relinquish all claims against the Kentucky Yang Chengfu Tai Chi Chuan Center, the International Yang Family Tai Chi Chuan Association, the University of Louisville, their officers and employees.

If you prefer to mail your registration

Click here to download the PDF version of the

Seminar Registration Form

Mail check or money order (USD)

to the address provided on the form.

Not a member? Need to renew?

Join the International Association and take advantage of the discounts.

First Year Membership

Membership Renewal

* Seniors are those 65 and older

Seminar Registration

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Family: $45

Senior*: $25

Individual: $30

Individual: $25

Family: $35

Senior*: $25

Member: $240.00

Non-Member: $262.00