Request to attend Tai Chi Qigong Class First name Last name Email address Email address => Cell Number (for class updates by text) Prior Tai Chi or Qigong Experience Total beginner.Some experience.Lots of experience. What do you hope to gain from Tai Chi Qigong? Age Range 18 – 2930 – 3940 – 4950 – 5960 – 6970 or moreHave you received at least 2 doses of a Covid-19 vaccination? YesNoComments (optional) Important Note: I (Mark) wish to keep things light and stress free but please, as you should with all exercise programs, use common sense when attending class or using my videos. Respect your comfort zone. To suit your abilities you are free and encouraged to modify any Tai Chi Qigong exercises presented in class or on video for your safety and comfort. If you have health concerns you may want to check with your doctor before beginning a new fitness program. By performing any Tai Chi Qigong exercises, you are performing them at your own risk. Mark Melchiorre will not be responsible or liable for any injury or harm you sustain as a result of Mark's class, DVD, online videos, or information shared on my websites. This includes emails, videos and text. Thanks for your understanding.I agree to abide by the above statement. Please add me to your email list for class updates and occasional newsletters. You may unsubscribe at any time.Δ