Posted on 2023-11-12 by Martial Art of Awareness 2024 NY Annual Intensive Retreat Registration 2024 NY Annual Intensive Registration Form Name(Required) First Last Phone Number(Required) Email(Required) Gender Male Female Other Where are you coming from?(Required) State, CountryIs this your first time attending?(Required) Yes – I have contacted Yen and received recommendation to attend from Master Sam Chin No Days of attendance(Required) FULL Workshop : $455 Full Workshop for Legal Partner (only if both are attending the full retreat) : $228 Friday & Saturday ONLY (2/16 – 2/17) : $310 Saturday & Sunday ONLY (2/17 – 2/18) : $310 Friday ONLY (2/16) : $165 Saturday ONLY (2/17) : $165 Sunday ONLY (2/18) : $165 Student Membership Expiration Date (Please enter LIFE if you're a life member)(Required) Format: DD/MM/YYInstructor License Expiration Date(Required) Format: DD/MM/YY Please enter “N/A” if not applicableName of your instructor Your student level(Required) None Entry 1 2 3 4 5 6 7 8 9 10 11 Meditation & Philosophy Your application level(Required) None 1 2 3 4 5 6 Meditation & Philosophy Will you be renewing your student membership at the retreat?(Required) Yes No You may renew at the Intensive: Yearly membership renewal fee: $60 / Lifetime membership fee: $600 Senior Lifetime membership: $300Will you be renewing your instructor license?(Required) Yes No You may renew at the Intensive: Yearly instructor license renewal fee: $150Are you planning to grade?(Required) Yes No Would like to but need to be evaluated first Grading LevelsWhat level (s) are you interested in grading for? Student Level 1 Student Level 2 Student Level 3 Student Level 4 Student Level 5 Student Level 6 Student Level 7 Student Level 8 Student Level 9 Student Level 10 Student Level 11 Meditation & Philosophy Instructor Level 1 Instructor Level 2 Instructor Level 3 Instructor Level 4 Instructor Level 5 Instructor Level 6 Instructor Level Meditation & Philosophy AccommodationReserve your room under the negotiated rate at Hyatt with the link provided. Group code: G-MAAG If you wish to share room, please do not book your own room yet. Contact us and we will try our best to help you arrange for a roommate. Are you planning to stay with the group at the Hyatt?(Required) Yes, I will book on my own under. If I have already arranged my own roommate(s), I will list the names below. Yes, but I will not book on my own yet, I need help finding a roommate. No Please let us know the names of your roommates, if you have already arranged on your own. Please help us get a better understanding of how many rooms we need from the hotel.Check In / Out DatesCheck in date:(Required) Date you plan on arriving to the hotel. MM/DD/YYYCheck out date:(Required) Date you plan on departing the hotel. MM/DD/YYYTravelPlease tell us your travel plans so we could better assist you with transportation if necessary. The hotel provides complimentary transport to/from LGA.Form of Transportation I’ll be driving on my own I’m flying in from out of town Not sure yet Travel details…You may skip this part if you don’t anticipate needing assistance from us. Or you can email yen@iliqchuan.com once your travel plans confirms. Which airport will you be flying into? When will you arrive? What is your flight # and airline? Private LessonsAdditional lessons are only available AFTER the intensive, please let us know if you’re interested in staying to train at Master Sam Chin’s Queens residence the week after the intensive.Will you be joining for additional lessons?(Required) Yes No Other You're almost done…Are you participating with your spouse or family member?(Required) Yes No Name of spouse or family member Relationship to participant Emergency ContactPlease let us know who to contact in the rare case of emergencyName(Required) Relationship to participant(Required) phone Number(Required) Are there any health related issues that we should know about you? Miscellaneous Any questions or anything else you’d like to share with us? ConsentWorkshop Agreement(Required) I agree to the terms and conditions.By submitting the form and registering to the workshop, I hereby agree to the terms and conditions outlined in the “Student Waiver Form and General Media Release” found at the link below: https://wp.me/P91E7G-9gMEmailThis field is for validation purposes and should be left unchanged. Δ Share this:TwitterFacebookMoreLinkedInRedditTumblrPinterestWhatsAppEmail Post navigationPrevious post: November 11th, 2023 : Martial Art of Awareness with Master Rich KellyNext post: November 18th, 2023 : No Class
