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   THE ROCHESTER T'AI CHI CH'UAN CENTER
595 Blossom Rd Suite 304,Rochester, NY 14610         
585-461-0130         www.rtccc.com

 

REGISTRATION FORM

Please read the following information before signing:

  • Payment is due upon registration.

  • Use one form per person.

  • Please include home and/or cell phone number along with an email address.

  • RTCCC reserves the right to cancel a scheduled class with notice or due to unforeseen circumstances. Some Saturday and Sunday classes may be superseded by workshops and/or other RTCCC activities.

  • When multiple class times are available, students are encouraged to attend class more than once per week at no extra charge.

  • Registration fees are non-refundable with the following exception: If a course is cancelled or filled, the registration fee will be refunded or credited toward a future course at your request.

TUITION

$100  - Introductory, First Time Beginner’s T’ai Chi Ch’uan (Wm. Chen Short Form, 1-20)

$125  - All other classes, including repeated Beginner’s T’ai Chi Ch’uan classes

After registering, to pay on line go to our Shop [upper right corner] or click on PAY ONLINE button and select either Introductory-First Time Students or Normal Ten Week Classes.  Or you can pay at the center with check or cash.

Note:

  • All courses are taught in ten-week sessions

  • Family Discount: 1st person pays full price; 15% discount applies to 2nd, 3rd person, etc. (Discount does not apply to First Time Beginner’s T’ai Chi Ch’uan)

  • Health Insurance: Discounts may apply for various providers. Please check with your personal health care provider to see if RTCCC classes qualify for reimbursement.

Name *
Name
How did you find out about RTCCC?
Waiver I agree to waive claims against any persons and the facility connected with this (these) event(s) for injuries I may sustain and likewise assume full responsibility for all my actions in connection with said event(s). I understand that any pictures of me participating in said event may be used for publicity without compensation. I have read and fully understand all terms explained above. SIGNATURE _______________________________________ DATE _________________