MARTIAL ARTS & TAI CHI UK HOLIDAY'S BOOKING FORM

Please Complete Form

Surname:   First name:

E-mail: Gender:        Male Female

Address:

Tel No:   Option: Please choose an option Option 1 - Tai Chi Option 2 - Grading Syllabus Option 3 - Securicare Option 4 - Focal Point

Date of birth: Age:    Profession:

Have you got any ailments/disabilities we need to know about?

Are you interested in the Instructor's course?: Yes No

Will you be requiring accomodation & meals?: Yes No

Are you interested in teaching abroad?: Yes No

Do you practice a form of Martial Arts?: Yes No

If so, please state which style:

Name & address of person to contact in case of emergency:

Relationship:

Please give date you wish to travel and send 50% of the fee to Tai Chi UK minus 10% if you are a member.

NOTE: YOU MAY NOT BE REFUNDED ONCE YOU BOOK YOUR HOLIDAY