Chattanooga Tai Ji Community Registration Form
Name: __________________________
Address:____________________________________________________________________
City:__________________________ State:________________Zip:________________
BirthDate:_______________ E-mail:_______________Telephone:_______________
Occupation:______________________________
Make checks payable to : CTJC
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Dues:
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$15 College Student
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$20 Individual
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$15 Seniors (65 or older)
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$35 Couple
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Reasons for studying Tai Ji:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Previous Tai Ji / Martial Arts Experience:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Send your registration form and payment to:
CTJC
P.O. Box 1014
Hixson, TN 37343 |