Student Name:

Birth Date:   Gender: male female    Playing Strength:

E-Mail:

Cell Phone:   Home Phone:

Parent/Guardian Name:

Workshop hours are 9:00 a.m. to 5:00 p.m., Monday through Friday, starting Monday, June 24 and finishing Friday, July 12. Tuition does not include lunch or books.

Tuition for the whole workshop, a total of 14 days, is $1395, which includes a substantial discount compared with the daily rate.

Alternatively, cross out with an X the days that you will not attend.

June 24 25 26 27 28 July 1 2 3 X 5 July 8 9 10 11 12

Note that on July 4 there will be no workshop.

To calculate tuition this way, count the number of days that you will be attending and multiply by $140. Please note that the minimum registration is for 5 days. Students who register for more days may be given priority.

A late fee of $100 will apply to registrations received after April 1.

Make your check payable to the Feng Yun Go School. You can mail your registration form and check to: Feng Yun, 466 Foothill Road, Bridgewater, NJ 08807.

You can also send money to Feng Yun's PayPal account, golesson@yahoo.com. You are responsible for any PayPal fees, so please use appropriate PayPal options so that Feng Yun receives the full amount of your tuition.

Questions should be addressed to fengyun@fengyungoschool.com.

Please note that tuition is not refundable after April 1, 2019.

Signature: _______________________________________________  Dated: ____________

    You also need to print and sign the release form.