由於租用的場地座位有限，請確定可以參加六天的研習再註冊。老師將用中文講課，現場有英語翻譯。Due to limited seats availability, please do not register if you are not able to attend all six (6) days classes. All lectures will be given in Mandarin Chinese with simultaneous translation in English (upon request).

Class Location: 9800 TOWN PARK DR, HOUSTON, TX 77036

Beginner class:
4/14/19 Sunday from 2:30pm to 6:00pm
4/15/19 Monday from 5:30pm to 9:00pm
4/16/19 Tuesday from 5:30pm to 9:00pm
Intermediate class:
4/17/19 Wednesday from 5:30pm to 9:00pm
4/18/19 Thursday from 5:30pm to 9:00pm
4/19/19 Friday from 5:30pm to 9:00pm

您的英文姓 Last Name*〈需填寫〉

您的英文名 First Name*〈需填寫〉

您的中文名 Other/Chinese Name

性別 Gender F/M
Female〈女〉Male〈男〉

通訊地址 Mailing Address*〈需填寫〉

城市 City*〈需填寫〉

州/郡 State*〈需填寫〉
TXALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

郵遞區號 Zip Code*〈需填寫〉

您的電子郵件信箱 E-Mail*〈需填寫〉

您的連絡電話 Phone*〈需填寫〉

英文翻譯 English Translation
Needed〈需〉Not Needed〈不需〉

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Longevitology Waiver Consent Form
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