Your full name

Your email

Your Contact Telephone:

Your Date of Birth (D/M/Y):

Home Address and Postcode:

Current Instructor:

Which Level of Instructor to apply?

Tshirt Size (fee apply):
XSSMLXLXXLXXLXXXL

Training online or in person?
onlinein personunknown

Please select your sex status
malefemaleothers

Your Payment Order Number:

Please provide your Copyright Authorization by tick the follow boxes
I confirm that Tai Chi Centre can film and take photos of my participation during the seminar for the purpose of promotion and production.

Please provide your taining history and background.

Your support message or anything you should tell us (optional)

Please Accept the term and conditions:
The Fee is non-refundable for the instructor assessment regardless success or fail.