Introduction To Qigong Interest List
Each program is limited to a specific number of participants. If you are interested, please be sure to complete this form as soon as possible before a program is full. [Note: if you are viewing this page on a mobile phone, turn the phone to landscape mode in order to see the entire form below.]
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Email *
First Name *
Last Name *
Why are you interested in this program?
How did you hear about this program?
What time of the day are you most available?
What days of the week are you available?
A copy of your responses will be emailed to the address you provided.
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This form was created inside of C Squared Energy Medicine.