樂齡樂活報名表 Evergreen Seniors Club Registration Form
日期:7/3 - 9/25 每週三 10:15AM-3:30PM
Date/Time: July 3 - September 25 (Every Wednesday), 10:15AM-3:30PM,
提供素食午餐
Vegetarian Lunch Included
課程包括:書法,太極,保健講座,生活講座,佛法分享,iPad入門等。
Classes include: Chinese Calligraphy, Tai Chi, Healthy Lifestyle Lecture, Dharma Sharing, iPad Class for Beginners, etc.
報名費 Fee:$20
會員免費 Fee wavied for IBPS Members
姓名 Name *
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電子郵箱 Email *
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電話號碼 Phone Number *
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緊急聯絡人及電話 Emergency Contact & Phone Number *
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有無過敏(如果有,請下寫過敏原)Allergies (If yes, please list below) *
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報名費是美金20元。I understand that I will have to pay $20 upon arrival. (會員免費 Fee wavied for IBPS Members) *
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付費方式 Payment Method *
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This form was created inside of International Buddhist Progress Society.