Registration Form

Registration Form


		Taoist Arts Center : Summer Retreat and Weekend Workshop Registration Form Note: a limited number of Tuition Discounts are available. Please call (212) 477-7055 for more info.

	Please print this page and fill in the required information.


	Please mail with your payment to Susan Rabinowitz Taoist Arts Center 342 East 9th Street New York, NY 10003


	Please make Check or Money Order payable to Susan Rabinowitz. Limited offer: 10% discount for payments over $1000.


	Name:


	Address:


	City:


	State:


	Zip:


	Work Phone:


	Home Phone:


	Email:


	Register for our Summer Retreat: For our 5-night, 6-day retreat, we offer at least 5 hours per day of instruction. Students have the choice of included lodging with meals for the workshop, or for those who live near the retreat we offer the instruction without lodging or meals. Single rooms are available for an additional fee. Please indicate if you want a vegetarian menu.


	Taoist Arts Center 342 East 9th St. New York, NY 10003 (212) 477-7055 S. Rabinowitz, director. srab@taoist-arts.com


	2003 June 22-27 Chi Kung Camp Retreat


	$


			Secrets of Tai Chi

		Complete with Instruction lodging and meals ($695)

		Single room ($155 additional = $850)

		Tent Camping ($525)

	Just classes ($400)


			Please reserve vegetarian meals for me

		Please reserve vegan meals for me

			Reserving space with $150 deposit.

	Register for our weekend workshops: For each weekend workshop you wish to attend, please indicate whether you plan to attend for each complete weekend ($150), just one day of the weekend ($80), or for a half day ($50). If you wish you can reserve your spot for the indicated interval with a $50 deposit. [$50 Minimum deposit to secure registration.]


	Oct 11 & 12 Noon to 6;00 pm Dragon & Tiger Chi Kung


	$


		Complete weekend ($150)		Single day ($80)			Half day ($50)

	Reserving space with $50 deposit.


	Winter 2004 Noon to 6:00 pm Chinese Meditation


	$


		Complete weekend ($150)		Single day ($80)			Half day ($50)

	Reserving space with $50 deposit.


	Spring 2004 Noon to 6:00 pm Taoist Energy Cultivation


	$


				Single day ($80)			Half day ($50)
		Complete weekend ($150)


	Reserving space with $50 deposit.


	Subtotal: $

	10% discount for over $1000: -$


	Total Amount Enclosed: $

If you would like this form to fit on one printed page, try printing it at 60%. Thank you.


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