REGISTER

To register, please complete the Registration form below. Once it has been submitted, please proceed to the Payment section.

We use Paypal’s secure payment service which accepts all major credit cards. (NB: You are NOT required to open a Paypal account to use the service.)

Which class would you like to register for? *
How did you hear about this Taiji class?
Internet searchFriend / ReferralSocial MediaPoster / FlyerOther
Please share any details so that I are able to fine tune my marketing efforts.

First Name *
Last Name *
Mailing Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone *
Email *
Do you have any pre-existing health conditions or concerns I should be aware of? *

- Cancellations received 7 or more days before class start date will receive a full refund, minus a $20 administration fee.
- Cancellations received less than 7 days before the class start date are offered a credit for a future taiji class of the same value. This credit must be used within 12 months.
- No refunds are given if you cancel on the day of, or during a program.
- Classes require a minimum number of participants to run. The instructor reserves the right to cancel at any time if those numbers are not reached. A full refund will be given in this instance.

I hereby affirm that I am in good physical condition and do not suffer from any known disability or condition which would prevent or limit my participation in this wellness program.
Please select one *

Anthony Lee Hem and anyone associated with this program, inclusive of but not limited to, Unifiedfields Healing Arts, make no claims, promises and guarantees and are neither diagnosing nor treating any specific health conditions.

Find out about upcoming Taiji classes and other Unifiedfields offerings by joining my mailing list. You can unsubscribe at any time.Yes, pleaseNo, thank you

Payment

Once you have submitted your registration form, select your class in the drop-down menu below, then click the yellow Pay Now button.

You’ll be direct to the Paypal website to complete your transaction securely. (NB: You do not have to have a Paypal account to use the service.)