Grandmaster Chen Xiao Xing 2009
Registration Form

Pre-registration is required. Space is Limited.
Please print and mail this registration form with your check/money order payable to
Kim Ivy (not Embrace The Moon)
1716 NW Market
Seattle, WA 98107

All money, once paid, is non-refundable.
Name
Address
City, State Zip
Phone Email
 
Cash, check or money order only to Kim Ivy.
Please indicate sessions you wish to attend:
  Wednesday May 6; 6-9 pm, 38 Form Correction $50  
  Thursday May 7; 6-9 pm, Chinna & Applications $50  
  Friday May 8; 6-9 pm, Silk Reeling $50  
  Saturday, May 9; 10 am-1 pm; Push Hands Level I $50  
  Saturday, May 9; 2:30 pm-5:30 pm; Push Hands Level II $50  
  Sunday, May 10; 9 am-12 pm; Push Hands, Level III $50  
  Sunday, May 10; 1:00 pm-4:00 pm, Push Hands, Level III+ $50  
Total Enclosed:
(take 10% off of 3 three hour capsules or 15% off of entire workshop)
  

 

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