Register online: Tai Chi Class

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone number*
Email*
Have you learned Tai Chi before?
- Yes
- No
Please describe when/where:
Do you practice regularly?
- Yes
- No
Do you have any health-related problem? If so, please briefly describe:
Where did you hear about about this event?
Registration Fee
The fee will be $10 for each class. Please pay online or bring cash or check after the class. Thank you!
Class

Price: $10.00 Quantity:
Payment Method*
Donation (or if paying by Check / Cash):
Would you like to donate any other than the suggested total amount? Note: If paying by check or cash please select "YES" and enter $0 as amount. Please make check payable to "DDMBA Chicago” and send it to : DDMBA Chicago c/o Iris Wang; re: "Tai Chi Class", 241 Holbrook Dr, Wheeling, IL 60090
- YES
- NO
Total
Donations are welcome and help cover our center's operational costs.
Total
$0.00
NOTE: After completing your online registration, please check your email for Paypal payment receipt and registration confirmation -- make sure to check your "SPAM" or "JUNK" folder as well, in case any auto-email from "ddmbachicago.org" was delivered there by mistake.
Comments
This field is for validation purposes and should be left unchanged.

Registration Fee