New studeNt applicatioN

Name *

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Address *

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What are you most interested in learning? Choose all that apply.

Martial Arts & Combat

Meditation & Breathing

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Xingyiquan

Taijiquan

Neigong & Qigong

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Confirmation *

I hereby certify and decree that all the information contained in the declarations above is true and accurate.

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Electronic Signature *

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Signature *

I acknowledge Queensland State Laws accept this communication as containing my signature within the meaning of the Electronic Transactions (QLD) Act 2001.