Evidence-Based Taiji Teacher Certification Training Registration

On-Line Registration: Evidence Based Taiji Teacher Training Certification

Please follow two steps to complete registration for the Evidence-Based Teacher Training Certification Seminar, Part A, August 2-7, 2009, at Saint Mary-of-the-Woods College, Indiana:

complete and submit the form below, AND

follow subsquent links to submit payment via either credit card on-line or mail order.

(A .pdf file of this registration form is also available.)

You must remit either a downpayment or full payment (including meals and lodging) with this registration - the link to payment options and instructions is only available after submitting the registration form, so please do not submit this form unless you are also prepared to remit either a downpayment or full payment. Credit card processing will not be available at camp, so all amounts due will be payable at the camp via check or money order only. If you wish to pay for all fees via credit card, you must do so now. Guidelines for registration deadlines and refunds and housing options are detailed on the Evidence-Based Taiji (EBT) Teacher Certification home page.

Note: You must first have applied and received notification of acceptance before registering. In order to reserve your space, you must submit registration and either full or downpayment within 2 weeks of notice of acceptance. If you have any questions prior to registration, please contact us.

2009 Evidence-Based Taiji (EBT) Teacher Training Certification Registration Form
I am registering for:
I am submitting payment to CTS for:
I will pay via:
First Name:
Last Name:
Email (double check spelling):
Home Phone (e.g.2173519388):
Address 1:
Address 2:
City:
State:
State/Province (if outside U.S.):
Zip:
Country:
Country (if other):
How would you like your name to appear on a nametag?
My preference for lodging is:
I will room with:*
Please note any additional comments:

*Please state "no preference" if applicable