Camp Registration

WAQI

Registration Form

Notice to Applicants: Please note that the following form is an application for admittance to the event. Submission does not guarantee acceptance. Upon receipt of your information, we will review and advise you of your status via email (usually within 2 weeks of receipt). If accepted, we will provide you with the links to complete the registration process and payment options.

It is important to also note that priority is given to Full Time registrants until [loading...]. After that date we will contact you regarding camp availability for part-time attendees.

Attendance Information

Attendance Type*

Room & Board Option*

Dietary Needs

	Vegetarian
	Vegan
	Gluten Free
	Dairy Free

T-Shirt Size*

How would you like your name to appear on name tag?

How did you hear of this training?*

What are your expectations from this training?*

Please note any additional comments.

Applicant Background

Have you previously attended any of the following within the past 3 years?*

	Weekend Workshop
	Any 5-Day Camp
	None of the above

Very briefly describe your previous yoga, martial art, taiji and/or qigong training and experience.*

Do you currently teach any of the following?*

	Taiji
	Qigong
	Yoga
	None of the above

Are you an up to date certified teacher (certified or re-certified in the past two years) of Dr. Yang's EBQT program?*

Yes No

Contact Information

Address*

City*

State/Province*

Zip Code/Postal Code*

Country*

Phone Number*

Emergency Contact

Emergency Contact Person*

Relationship*

Phone Number*

I hereby confirm that I have read the Qi Balance LLC Release Agreement and I agree to be bound by its terms in all respects.

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