Qigong in Bangalow When 17/08/2022 6:00 pm - 7:15 pm Add To Calendar Download ICS Google Calendar iCalendar Office 365 Outlook Live Bookings Where Moller Pavilion Bangalow 1 Market St. Bangalow Showground, Bangalow, NSW, 2479 Event Type Loading Map.... Moller Pavilion Bangalow1 Market St. Bangalow Showground - Bangalow'.__('Events', 'events-manager').' -28.683676 153.526617 Master Huang’s Loosenings and The White Crane Set Bookings Ticket Type Price Spaces Term Fee $160.00 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 No casual class attendance is available, however you are welcome to join a class at any time during the term. The Term Fee will be adjusted accordingly. Please Register and Shirsha will be in touch with you shortly. First Name * Last Name * Occupation Age * Gender * Select ... Male Female Phone * Email * Address * Address 2 City * State * Postcode * Country * none selected Afghanistan Albania Algeria American Samoa Andorra Angola Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Côte D'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Costa Rica Croatia Cuba Cyprus Czech Republic Democratic People's Republic of Korea Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Polynesia Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar(Burma) Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Northern Ireland Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Republic of the Congo Romania Russia Rwanda Réunion Sào Tomé And Príncipe Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Saudi Arabia Scotland Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu US Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wales Yemen Zambia Zimbabwe Please list any injuries, illnesses, medical conditions, allergies or anything else you think we should know about in the interests of your safety and well-being, and to ensure you receive the best care * Are you taking prescribed drugs which may impair reaction time or judgement? If yes, please describe. * What physical and/or mental health benefits would you like from this training? * Please note: Instruction in Tai Chi, Qigong or Qi Power is not a replacement for medical advice, diagnosis or treatment of health conditions. If you have an acute or chronic ailment please seek medical attention from a qualified doctor. Some exercises may not be suitable for everyone. If you are unsure about the suitability of Tai Chi, Qigong or Qi Power for you please contact Shirsha. If you have any injuries or medical conditions that you think may affect your ability to participate, please consult with your medical practitioner first. Where did you find out about us? * Word of mouth Internet Search Magazine Advertisement Facebook Instagram Other DECLARATION OF UNDERSTANDINGI have read and understood the contents of this Application Form / Health Declaration. I have read and accept the Terms & Conditions. (This link to T&Cs opens in a new tab/window. After reading you can close that window and you will return here to complete the form) I Accept * If you experience any difficulties submitting this form, or you do not receive a reply: please send us an email. You can make your payment by PayPal or Bank Transfer, please select below Pay With PayPalBank Transfer Please pay to: Heart Mind Centre BSB: 722 744 ACC: 100009065 Please enter your name and class date as a reference!Check above to sign me up for the newsletter!