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New Student Registration and Competition Entry

This form is intended for completion by students who are new to Wisconsin Tai Chi Academy. See our Competition Terms and Conditions for entry details if you intend to enter our competition as part of your registration.

Which class are you registering for?(required)

Cedarburg – Tuesday Morning (10am) Brookfield – Tuesday Evening (6pm) Brookfield – Thursday Morning (10am) Glendale – Thursday Evening (6pm) Whitewater – Saturday Morning (9am)

Name (first and last)(required)

Email(required)

Contact Phone Number(required)

Is this a cell/mobile?(required)

Yes No

Have you previously been a member of Wisconsin Tai Chi Academy?(required)

Yes No

Are you submitting an entry to our competition?(required)

Yes (complete the next section in order to submit a valid entry) No (you do not have to complete the next section to register)

By selecting “Yes” to our competition entry, you are stating that you have read and agree to abide by the Terms and Conditions of our competition. Please do not select this option if you have not read and/or agree to abide by the Terms and Conditions of our competition.

In 25 words or less, state why you want to learn Tai Chi?

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