Posted on 2022-11-16 by Martial Art of Awareness New York Annual Intensive 2023 2023 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, CountryAre you vaccinated? No Got my first shot Got my second shot Got my booster Is 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 : $355 Full Workshop for Legal Partner (only if both are attending the full retreat) : $178 Friday & Saturday ONLY (2/18 - 2/19) : $255 Saturday & Sunday ONLY (2/19 - 2/20) : $255 Friday ONLY (2/18) : $155 Saturday ONLY (2/19) : $155 Sunday ONLY (2/20) : $155 Monday ONLY - half day (2/21) : $55 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 instructor 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 AccommodationFeel free to contact the hotel directly to book your room under the Martial Art of Awareness rooming block. 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 Hotel Indigo?(Required) Yes, I will call Hotel Indigo and book on my own under the Martial Art group. If I have already arranged my own roommate(s), I will list the names below. Yes, but please help me find 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.Sharing RoomsTo help us coordinate the rooms and to find you a roommate, please let us know if you're fully vaccinated or not. Some people may only be comfortable rooming with those who are fully vaccinated. Are you fully vaccinated?(Required) Yes No Are you willing to share room with those who are not vaccinated?(Required) Yes No Check 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 There is parking at the hotel for a fee (tbc). Or you can find nearby street parking as well as garages. Which airport will you be flying into? Please email yen@iliqchuan.com with your travel details once it's confirmedWhen will you arrive? Please email yen@iliqchuan.com with your travel details once it's confirmedWhat is your flight # and airline? Please email yen@iliqchuan.com with your travel details once it's confirmedPrivate 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-9gMCommentsThis field is for validation purposes and should be left unchanged. Δ 2023 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, CountryAre you vaccinated? No Got my first shot Got my second shot Got my booster Is 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 : $355 Full Workshop for Legal Partner (only if both are attending the full retreat) : $178 Friday & Saturday ONLY (2/18 - 2/19) : $255 Saturday & Sunday ONLY (2/19 - 2/20) : $255 Friday ONLY (2/18) : $155 Saturday ONLY (2/19) : $155 Sunday ONLY (2/20) : $155 Monday ONLY - half day (2/21) : $55 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 instructor 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 AccommodationFeel free to contact the hotel directly to book your room under the Martial Art of Awareness rooming block. 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 Hotel Indigo?(Required) Yes, I will call Hotel Indigo and book on my own under the Martial Art group. If I have already arranged my own roommate(s), I will list the names below. Yes, but please help me find 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.Sharing RoomsTo help us coordinate the rooms and to find you a roommate, please let us know if you're fully vaccinated or not. Some people may only be comfortable rooming with those who are fully vaccinated. Are you fully vaccinated?(Required) Yes No Are you willing to share room with those who are not vaccinated?(Required) Yes No Check 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 There is parking at the hotel for a fee (tbc). Or you can find nearby street parking as well as garages. Which airport will you be flying into? Please email yen@iliqchuan.com with your travel details once it's confirmedWhen will you arrive? Please email yen@iliqchuan.com with your travel details once it's confirmedWhat is your flight # and airline? Please email yen@iliqchuan.com with your travel details once it's confirmedPrivate 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-9gMPhoneThis field is for validation purposes and should be left unchanged. Δ Share this:TwitterFacebookLike this:Like Loading... Post navigationPrevious post: November 12th, 2022 : Application of the 15 Basic Exercises : Part 3Next post: November 19th, 2022 : Stepping, Kicking and the Qualities of ‘Occupying the Space’
