Sacred Journeys: Treks and Study Tours to China and Tibet

*Registration Form*
Make checks payable and send to:
Qigong Dharma Society
53 Continental Ave. Forest Hills, NY 11375


Name_______________________________________ Phone___________

Address_____________________________________________________

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Treks attending_______________________________________________

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Age _______ Profession _______________________________________ 

Health Condition______________________________________________

Dietary Restrictions___________________________________________

Related Experience____________________________________________

How did you find out about us? __________________________________


Signature__________________________________ Date______________