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A banner showing Master Black and his assistant performing Tai Chi/TaiJi movements. A banner showing Master Black and his assistant performing Tai Chi/TaiJi movements. The text describes benefits and gives contact information.

A Father's Day Gift
Introduction to TaiJiQuan Workshop

Before confirming your spot in this one-of-a-kind Father's Day TaiJi Workshop, I'd love to learn a little about what brings you here. This short application helps us make sure each of the 10 spots go to people who are truly ready to get something powerful from it.

TaiJiWellEXPLOREPROGRAMS

Full Name

Email

Phone

Organization Name (if applicable)

Preferred Contact Method

Email

Phone

Text Message

Checkboxes

Stress Reduction

Balance & Stability

Mobility & Flexibility

Calmness & Focus

Posture & Body Awareness

Gentle Movement

Healthy Aging Support

Mind-Body Wellness

Workplace Wellness

Personal Growth

Community & Connection

Beginner-Friendly Movement

Other

Is There Anything Specific You Are Hoping to Improve or Explore?

Who Would Participate?

Just Myself

Small Private Group

Senior Community

Workplace or Organization

Community Center or Library

Church or NonProfit

Wellness Program/Event

School of Educational Setting

Healthcare/Recover-Adjacent Environment

Unsure/Exploring Options

What Type of Experience Interests You?

Introductory Workshop

Weekly Wellness Class

Ongoing Program

Private Instruction

Group Instruction

Seated/Accessibility-Focused Options

Outdoor Wellness Sessions

Workplace Wellness Sessions

Educational Demonstration

Unsure/Would Like Guidance

Previous Experience

Completely New to TaiJi

Some Movement/Wellness Experience

Previous TaiJi or Martial Arts Experience

Yoga, QiGong, or Meditation Background

Returning After Time Away

Accessibility & Comfort

Interested in Seated Participation Options

Interested in Gentle Pacing

Prefer Beginner-Friendly Instruction

Prefer Small-Group Environments

Prefer Low-Impact Movement

Would Like More Information Before Participating

ORGANIZATION INFORMATION (Only If Applicable)

Organization or Group Name

Type of Organization

Indoor or Outdoor Space Available?

Approximate Participant Size

Desired Frequency

One-Time Event

Weekly

Monthly

Ongoing

Unsure

What Goals Would You Like The Program to Support?

If you are human, leave this field blank.

A Father's Day Gift Introduction to TaiJiQuan Workshop

Before confirming your spot in this one-of-a-kind Father's Day TaiJi Workshop, I'd love to learn a little about what brings you here. This short application helps us make sure each of the 10 spots go to people who are truly ready to get something powerful from it.

ORGANIZATION INFORMATION (Only If Applicable)

A Father's Day Gift
Introduction to TaiJiQuan Workshop