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The Tai Chi Foundation presents

U.S. East Coast Winter Training - January 2024

All Apprentices: January 14th-19th

8th Level Apprentices: Jan 12th-19th

First Name *

Last Name *

Email Address *

Address 1 *

Address 2

City *

State, Province, County *

Zip Code

Country *

Cell Phone Number *

Other Phone Number

Registration Fees

• In this section, select only one box •

You are encouraged to be a dues-paid member in good standing to participate in the Apprentice Intensive. Scholarship recipient? Skip to next section.

Current TCF Member

Training (Members Early Bird): $960 - REGISTER BY DEC 15th

8th Level Training (Members Early Bird): $1,050 - REGISTER BY DEC 15th

Training (Members): $1,050 - REGISTER AFTER DEC 15th

8th Level Training (Members): $1,140 - REGISTER AFTER DEC 15th

Training + B1 Apprenticeship: $1,260

Non-TCF Member

Training (Non-Members Early Bird): $1,060 - REGISTER BY DEC 15th

8th Level Training (Non-Members Early Bird): $1,150 - REGISTER BY DEC 15th

Training (Non-Members): $1,150 - REGISTER AFTER DEC 15th

8th Level Training (Non-Members): $1,240 - REGISTER AFTER DEC 15th

Training + B1 Apprenticeship: $1,260

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Scholarship Recipients Section
If you have received a scholarship enter your total registration amount due here, and check below which training you are doing. Do not check a box in the ‘Registration Fees’ section above. 🛈

Training only - (No Apprenticeship)

Training - with B1 or other Apprenticeship

Membership & Donations

Tai Chi Foundation Membership -- You may pay your first-time Membership or renew your Membership here. If you have been a member go to Member Account and log in to see if your membership is up to date.

Standard Annual Membership - $120.00

Reduced Annual Membership (First-time or Limited Income) - $60.00

Contribute to the Bernie Dushman Scholarship Fund

Contribute to the TCF Annual Fund

Running Total:

$0.00

Enrollment Agreement

1. I understand that the Programs may involve physical and non-physical exertion. I have no disability, impairment or ailment whatsoever, whether physical, emotional, mental or otherwise, which would be adversely affected by my participation in the Programs. I will inform NY-STCC/TCF of any relevant changes in my health condition. 2. The Programs are for informational and educational purposes only. They are not intended to be a substitute for professional medical advice, diagnosis or treatment. I am responsible for my own health and participate in the Programs at my own risk. I will always seek professional medical advice regarding a medical condition. I will never disregard my physician’s advice, or delay in seeking it, because of something in the Programs. I will always consult with my physician before starting any exercise program. 3. I hereby grant permission to NY-STCC/TCF to take photographs or audio or video recordings of me and allow NY-STCC/TCF to make use of such photos/recordings as it may determine. 4. I will not demonstrate, teach or otherwise disseminate the instructions, indications or materials given to me in the Programs without the written permission of NY-STCC/TCF. I will not record/capture the instructions, indications or materials given to me in the Programs, nor to claim to officially represent NY-STCC/TCF, without the written permission of NY-STCC/TCF. 5. In the event a Program is cancelled, I will receive a pro-rata refund of the tuition paid. In addition, I am entitled to receive a full refund of any Program fee if I cancel my participation within one week of my first payment. If I cancel after that, I will receive a pro rata credit that may be applied to future Programs within the next 12 months. 6. I hereby consent to NY-STCC/TCF communicating with me about its Programs via email, provided that it will not share/sell any of my personally identifiable information to outside organizations. I understand that I can "unsubscribe" at any time. 7. I assume the responsibilities and risks associated with participation in the Programs with NY-STCC/TCF, and in the use of facilities for in-person Programs. For online Programs, I will only work in a space clear of obstructions. 8. I understand that NY-STCC/TCF does not make any representations or warranties, express or implied, whatsoever with respect to the Programs including, without limitation, any health benefits. NY-STCC/TCF, as well as all of NY-STCC/TCF’s officers, directors, employees, members, representatives and advisors (collectively, “Released Parties”) will not be held liable for exposure to any harmful elements including, without limitation, COVID-19 and other pathogens (collectively, “Harmful Elements”) in connection with my participation in the Programs. 9. I hereby release and forever discharge NY-STCC/TCF and the Released Parties from and against any and all liabilities, claims, actions, damages and/or losses of any kind (including death, illness, personal injury or property damage) relating to any Harmful Elements, accident, injury or harm to me, my household members or others in connection with my participation in the Programs, or otherwise caused by any act or omission of NY-STCC/TCF or any of the Released Parties. 10. By signing below, I (i) confirm each statement above, (ii) attest to having been fully vaccinated for COVID-19, and (iii) agree to continuously comply with all applicable Federal, State, New York City, and CDC COVID-19 recommendations and mandates.

I agree to the terms of the Enrollment Agreement *

Yes

No

Please send me email newsletters and information about Tai Chi and Qigong classes. Our school uses Constant Contact to send you news of our course offerings. We need your approval to do this! TCF does not sell/distribute our mailing list to other companies, and participants always have the option to unsubscribe.

Yes

No

Payment Types-Credit Card, PayPal or Mail

TCF U.S. Online Winter Training 2024

is a program of

T'ai Chi Foundation, Inc.

and

NY School of T'ai Chi Chuan Inc.

Questions about this Registration form? email Steve at: shulman.steve36@gmail.com

www.taichifoundation.org