Tai Chi Class Registration

Tai Chi Class Registration — Form Fields

This registration template includes 8 fields. Registration form for tai chi and qigong classes. Captures health goals, mobility considerations, and scheduling preferences for mindful movement practice. Free to customize and use on ZenBuild.

• Full Name (text, required)
• Email Address (email, required)
• Phone Number (text, optional)
• Age (number, required)
• Class Level (dropdown selection, required) — options: Beginner, Intermediate, Advanced
• What are your goals? (select all that apply) (checkboxes, optional) — options: Stress relief & relaxation, Improve balance & flexibility, Pain management, Martial arts application, Social / community
• Do you have any physical limitations or health conditions we should be aware of? (long text, optional)
• Preferred Schedule (dropdown selection, required) — options: Early morning (7–8 AM), Mid-morning (9–10 AM), Evening (6–7 PM), Weekend (10–11 AM)