Registration

Anyone can do Tai Chi, but everyone needs to do it differently!

We have a range of different people coming to our classes, from young to old, fit to unfit. I can adapt the Tai Chi that we do to most ailments and conditions, but I do need to know about them first! So, if you are coming along to a class I need you to fill in the registration form below – and please be honest.

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Tai Chi Registration Form

Participation in any exercise program may increase your risk of injury. Such risks can include, but are not limited to permanent injury or death from falls, collision with others, the exercise room and equipment conditions, and your physical status. The following medical conditions may affect your participation in this program and increase your risk. Please check accordingly and explain specifics.

Name

Emergency Contact Number

Medical Conditions (Please check where applicable)

High blood pressure Heart condition Fainting tendency or dizziness Chest pain or breathlessness during and/or after mild exertion Bone, joint, muscle, tendon problems (e.g. arthritis, osteoporosis, tendonitis or joint replacement of hip, knee, shoulder) Other diagnosed or suspected problems (e.g., diabetes, thyroid disease)

*Medications may affect your heart rate response to exercise or your ability to exercise. Please inform the instructor if you are on any medication.

Other Details

WAIVER, RELEASE AND INDEMNITY AGREEMENT

I accept the terms of service above

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Begin your journey to better health and balance. Take the first step with an in-person class, or via easy-to-follow online lessons designed for beginners and experienced students alike.

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