Name * First Name Last Name Email * Phone * (###) ### #### Interested in: * Tai Chi Class Qi Gong Class Tai Chi Fan Teaching Certificate Workshop, Seminar, Retreat Class Format * In Person class Zoom Class Internet class Available Date Mon Tue Wed Thur Fri Sat Sun Available Time 9:00-12:00 Noon 12:00-6:00 PM 6:00-9:00 PM Start date * MM DD YYYY Experience, goal * Thank you!