ST 2017 Ireland Public Registration Form

T’ai Chi European Summer Holiday 2017

PUBLIC REGISTRATION FORM

University of Limerick, IRELAND

Arrive afternoon, Sunday 13th August – leave morning, Saturday 19th August

NAME, ADDRESS, PHONE & EMAIL Please use a separate form per person

Male / Female

Name………………………………………………………………………………………………………...…

Address…………………………………………………………………………………………………………

…………………………………………………………………………………………………………………..

Postcode………………………………………… Country ………………………………………………….

Phone number(s)………………………………………………………………………………………………

Email…………………………………………………………………………………………………………….

I would like to receive communications from TCF Yes □ No □

T’AI CHI HOLIDAY PACKAGE – 6 nights:

Room, Board & Tuition...... €945

Room, Tuition & Evening Meal …...... €825

Room, Tuition & Self Cater ...... €725

Child 1 (15 years old and under) ……………………………………...... €495

Child 2 ……………………….…………………………………………………………...... €445

Child 3+ ……...…………….………………………………………………………...…...... €405

Child(ren) (15 years old and under)

Name(s) and age of boy(s) ………...……………………………………………………………………..

Name(s) and age of girl(s) …………………………………………………………………………………

Additional accommodation information:

I would like a room adjacent to. ……………………………………………………………………………

NON RESIDENTIAL

Contact us for details.

TRADITIONAL HAWAIIAN SWIMMINGSM Adults €100 Child €80

TRAINING INFORMATION

Have you done T'ai Chi before: NO / YES

My last completed course was: B1 B2 B3 Fund PH1 IF PH2 PH3 IFC

Discounts

€50: per adult, upon receipt of the complete amount by 20th May.

€25: over 65s and those in full-time study. Please attach copy of proof of your status.

€50: for participants from the USA.

DIET SPECIFICATIONS

There will always be enough to eat for everyone and although we endeavour to meet specific preferences they cannot be absolutely guaranteed. To help us in doing our best to meet your preferences please tick accordingly:

Vegetarian:

Chicken & Fish:

I eat everything including meat:

I am gluten intolerant or have another such medical need (please specify):

PAYMENT

I am paying €150 per person deposit via:

Cheque

Bank Transfer

PayPal

I am paying the full payment of €...... via:

Cheque

Bank Transfer

PayPal

When making payments via Bank Transfer please make sure payment notice includes your name and that any administration/handling costs for same are absorbed by you. We will send you a confirmation email about receipt of payment.

PAYPAL

For Debit/Credit Card payments via PayPal, visit SSTCC’s website, www.taichichuan.ie

WITHIN IRELAND & COUNTRIES WITH EURO CURRENCY

You can send a cheque made payable to 'SSTCC'.

BANK TRANSFER

If you wish to pay by direct bank transfer the details are:

Permanent Trustee Savings Bank, 405 Howth Road, Raheny, Dublin 5

Account Name: Suaimhneas School of Tai Chi

Account Number: 24466505

Sort Code: 99-06-41

IBAN: IE55IPBS99064124466505

SWIFTBIC: IPBSIE2D

SSTCC reserves the right to retain €150 per person for cancellations after 1st July 2017.

REGISTRATION

Email your registration form to:

Or post a copy to:

Colette Nangle,

28 Colpe Park,

Deepforde,

Drogheda,

Co Meath,

Ireland,

A92 C9WC

Room(s) at University of Limerick will be reserved in order of receipt of registration forms and full payment.

PHOTOGRAPHS VISUAL/AUDIO IMAGES&RECORDINGS

Any person who attends the TCF Summer Training grants permission to TCF to record his or her visual/audio images, including but not limited to, photographs, digital images, voices, sound or video recordings, audio clips, or accompanying written descriptions, and, without notifying such person, to use his or her name and such images for any purpose, including advertisements for future programmes and events. If you would prefer that your image not be used please let us know during on-site registration.

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