Tai Chi Registration

For more information contact:

Jennifer Shephard, Communications Coordinator

Phone: 705-466-3341 ext. 234

Email: jshephard@mulmur.ca

Question Title

* 1. Contact Information

Name

Mailing Address

Postal Code

Email

Telephone

Question Title

* 2. Date of Birth

Date / Time

Date

Question Title

* 3. Have you ever practices Tai Chi before?

Yes

No