Registration Form Copy

ST 2017 Ireland Apprentice Registration Form

T’ai Chi European Summer Training 2017 APPRENTICE REGISTRATION FORM University of Limerick, IRELAND

Apprentice weekend + week arrive afternoon, Friday 11th August – leave morning, Saturday 19th August. 8th Level arrive afternoon, Thursday 10th August.

NAME, ADDRESS, PHONE & EMAIL Please use a separate form per person Male / Female Name………………………………………………………………………………………………………...…

Address…………………………………………………………………………………………………………

………………………………………………………………………………………………………… ………..

Postcode………………………………………… Country ………………………………………………….

Phone number(s)………………………………………………………………………………………………

Email…………………………………………………………………………………………………………….

I would like to receive communications from TCF Yes □ No □

T’AI CHI HOLIDAY PACKAGE: 2 Nights 6 Nights 8 Nights Aug 11-12 Aug 13-19 Aug 11-19 Room, Board & Tuition €270 €850 €1,075 Room, Tuition & Evening Meal €230 €735 €920 Room, Tuition & Self Cater €200 €635 €790

6 Nights 8 Nights Aug 13-19 Aug 11-19 Child 1 (15 years old and under) €495 €550 Child 2 €445 €500 Child 3+ €405 €460

8th Level – Arrive on Thursday 10th August – an additional €75 is charged.

Child(ren) (15 years old and under) Name(s) and age of boy(s) ………...……………………………………………………………………..

Name(s) and age of girl(s) …………………………………………………………………………………

Additional accommodation information: I would like a room adjacent to. ……………………………………………………………………………

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NON RESIDENTIAL Contact us for details.

TRADITIONAL HAWAIIAN SWIMMINGSM Adults €100 Child €80

Discounts (Does not apply to 2 night stay) €50: per adult, upon receipt of the complete amount by 20th May. €25: over 65s and those in full-time study. Please attach copy of proof of your status. €50: for participants from the USA.

Preferred Apprentice Activities Please indicate what you would like to do

YIN TEACH TAKE B1 B2 B3

Fundamentals Push Hands 1 Intermediate Form Push Hands 2 Push Hands 3 IFC

PH4 PH5 PH6 PH7 OPH

Sword Form Fencing Pole

Psychocalisthenics® Swimming Zhikr 8th Level Day - Additional €75

Psychocalisthenics® is a trademark of Oscar Ichazo in The United States of America.

DIET SPECIFICATIONS

There will always be enough to eat for everyone and although we endeavour to meet specific preferences they cannot be absolutely guaranteed. To help us in doing our best to meet your preferences please tick accordingly:

Vegetarian:

Chicken & Fish:

I eat everything including meat:

I am gluten intolerant or have another such medical need (please specify):

PAYMENT

I am paying €150 per person deposit via: Cheque

Bank Transfer

PayPal

I am paying the full payment of €...... via: Cheque

Bank Transfer

PayPal

When making payments via Bank Transfer please make sure payment notice includes your name and that any administration/handling costs for same are absorbed by you. We will send you a confirmation email about receipt of payment.

PAYPAL For Debit/Credit Card payments via PayPal, visit SSTCC’s website, www.taichichuan.ie

WITHIN IRELAND & COUNTRIES WITH EURO CURRENCY You can send a cheque made payable to 'SSTCC'.

BANK TRANSFER If you wish to pay by direct bank transfer the details are: Permanent Trustee Savings Bank, 405 Howth Road, Raheny, Dublin 5 Account Name: Suaimhneas School of Tai Chi Account Number: 24466505 Sort Code: 99-06-41 IBAN: IE55IPBS99064124466505 SWIFTBIC: IPBSIE2D

SSTCC reserves the right to retain €150 per person for cancellations after 1 July.

REGISTRATION Email your registration form to: [email protected] Or post a copy to: Colette Nangle, 28 Colpe Park, Deepforde, Drogheda, Co Meath, Ireland, A92 C9WC

Room(s) at University of Limerick will be reserved in order of receipt of registration forms and full payment.

PHOTOGRAPHS VISUAL/AUDIO IMAGES&RECORDINGS Any person who attends the TCF Summer Training grants permission to TCF to record his or her visual/audio images, including but not limited to, photographs, digital images, voices, sound or video recordings, audio clips, or accompanying written descriptions, and, without notifying such person, to use his or her name and such images for any purpose, including advertisements for future programmes and events. If you would prefer that your image not be used please let us know during on-site registration.

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