Instructions: Please register early to help with the planning and organisation of this workshop.
- Submit completed forms by COB Friday 16th March by email r via your instructor
- Tick as applicable:(right click on a box, go to properties & select ‘checked’ to tick):
- Apple users: (please mark your preference with a Yes)
I would like to register for the following:
Sat24 March - Instructor Forum 65 Dundas Court, Phillip – 2:30pm to 5:45pm
Sat 24 March – Dinner at Indian Affair, Colbee Court Phillip – 6:00pm - PAYG
Sun 25 March - National WorkshopWeston Hub – 9:30am to 5:00pm - $60
Sun 25March - Workshop Lunch$15
MrMs / Name:
Address:
Contact Details: / Phone: / Mobile:
Email*:
* Please include your email address, as it will be used to confirm your booking
Branch: / Health Concerns:
Region:
Emergency Contact Name: / Phone:
Travel: / Arrival date: / Flight: / Time:
Departure date: / Flight / Time
Transport required? / Airport? Yes No / Workshop? Yes No
Accommodation*: / Billet / Motel / Not required
*Please tick one of the above. (Note: for billet requests, a minimum of 4 weeks’ notice is required.)
Please read and sign: I accept that the Taoist Tai Chi Society of Australia Inc and the local branch hosting the workshop are not responsible for any loss or damage to my personal property, or for any personal injury sustained. I undertake not to teach Taoist Tai Chi™ internal arts without the express consent of the National Instruction Coordination Committee of the Taoist Tai Chi Society of Australia Inc. I agree to abide by the by-laws and constitution of the Taoist Tai Chi Society of Australia Inc.
Signature / (an electronic signature is acceptable – just type your name, save and email) / Date
Amount Owing: / Workshop: / Lunch: / Total due:
PLEASE PAY BY CASH OR CHEQUE IN PERSON AT THE WORKSHOP. Please do not pay at any other local branch or at any class.
Office use only: Amt received $______.Date ______ Cash Cheque Voucher
Page 1 of 118 January, 1996