Class & Workshop Registration
Please fill out all fields below. Be sure to list the class type, date and time.
First Name
Last Name
Address
City, State, Zip
Cell Phone (include area code)
E-mail Address
Class Type
ChiRunning
Chiwalking
Class Date & Time
How did you hear about us?
Television
Radio
Newspaper
Website
Family or Friend
Other (List below)
Additional Comments
Please mail your check to: Moving Naturally, P.O. Box 293071 Kettering, Ohio 45429. You will receive an e-mail confirmation once your check has been received.