Taoist Hermitage - Ecuador

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Student Information - please return via email


1. Name

2. Age

3. Date of arrival and length of stay.

4. Past training in chi kung, tai chi, meditation, or yoga.

5. Do you exercise or practice a Taoist art currently?

6. Where are you living now?

7. Emergency contact info for a primary family or friend.

8. Medical problems, health concerns, limitations of movement?

9. Are you taking any prescription or alternative medicines?

10. A picture of you or link to social network page with your picture.