bhqa registration

Registration Form

17th Health Qigong Instructor Course 2025

7th Mar - 29th Jun 2025

Please enter your details below, then click 'Continue' to go to the Confirmation page. Entry titles marked with an asterisk * are required.

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Your Details

First Name *

Last Name *

Phone *

Email *

Address 1 *

Address 2

Town

Region/County

Post Code *

Country

T-shirt size *

Teacher's name

Training background

Training Options

Instructor Course - New

Discount Options (up to date membership only)

Instructor Re-visit or Revalidation

Choose form/s below for your registered options;

Option A - choose one form only *

Option B - choose one form only *

Duan Grading

(Members & Instructors welcome)

Duan Grading Options

Enter form/s for Duan Grading

please enter: Duan 1 - 1 form, Duan 2 - 2 forms, Duan 3 - 3 forms

Payment Options

Course Deposit of £300 (leave unchecked if paying full amount)

Payment Method *

NOTE: Discount code cannot be used in conjunction with the member/instructor discount

Bank Transfer Details
Bank: TSB
Name: Deyin Event Management Ltd
Sort Code: 772710
Acc. No: 00062005
IBAN: GB84TSBS77271000062005
BIC: TSBSGB2AXXX

I accept all conditions on the Event Participant Disclaimer *

Billing Total £

Payment Total £

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type|info_line||name|heading_details||title|<div style='color: #000;font-size: 10pt; font-weight: bold; margin-top: 2pt; text-decoration: underline;'>Your Details</div>|||type|textline||name|first_name||title|First Name||maxlength|32||required|1|||type|textline||name|last_name||title|Last Name||maxlength|32||required|1|||type|textline||name|phone||title|Phone||maxlength|30||required|1|||type|textline||name|email||title|Email||maxlength|60||required|1|||type|textline||name|address1||title|Address 1||maxlength|60||required|1|||type|textline||name|address2||title|Address 2||maxlength|60|||type|textline||name|town||title|Town||maxlength|40|||type|textline||name|region||title|Region/County||maxlength|30|||type|textline||name|postcode||title|Post Code||maxlength|32||required|1|||type|textline||name|country||title|Country||maxlength|30|||type|select_text||name|t_shirt||title|T-shirt size||required|1||selections|0.00==S&&0.00==M&&0.00==L&&0.00==XL&&0.00==XXL|||type|textline||name|your_teacher||title|Teacher's name||maxlength|30|||type|textarea||name|comment||title|Training background|||type|info_line||name|heading_training||title|<div style='color: #000; font-size: 10pt; font-weight: bold; margin-top: 10pt; text-decoration: underline;'>Training Options</div>|||type|select||name|reg_type||title|Instructor Course - New||selections|580.00==One Module without TCM (Early Bird) - 580.00&&980.00==Two Module without TCM (Early Bird) - 980.00&&780.00==One Modules with TCM (Early Bird)- 780.00&&1180.00==Two Modules with TCM (Early Bird) - 1180.00&&250.00==Stand-alone TCM module Only - £250|||type|select||name|discount_options||title|Discount Options (up to date membership only)||selections|-5.00==BHQA / DEYIN member, 5% off==percent&&-10.00==BHQA Instructor, 10% off==percent&&-40.00==EC member Discount==percent|||type|select||name|CPD_Reval||title|Instructor Re-visit or Revalidation||selections|95.00==One form - Revalidation 26 or 28 June&&180.00==Two forms - Revalidation 26 & 28 June&&320.00==One form - Revisit&&495.00==Two forms - Revisit|||type|info_line||name|no_disc||title|Choose form/s below for your registered options;|||type|select_text||name|option_a||title|Option A - choose one form only||required|1||selections|0.00==None&&0.00==HQ Ming Mu Gong&&0.00==HQ Taiji Yang Sheng Zhang (Tai Chi Stick)|||type|select_text||name|option_b||title|Option B - choose one form only||required|1||selections|0.00==None&&0.00==HQ Ba Duan Jin &&0.00==Chair Version Daoyin 12 Fa|||type|info_line||name|heading_duangrading||title|<div style='font-size: 10pt; color: #000; margin-top: 10pt;'><b><u>Duan Grading</u></b></div> <div style='margin-top: 4pt;'><em>(Members & Instructors welcome)</em></div>|||type|select||name|duangrading||title|Duan Grading Options||selections|40.00==Duan 1 - £40&&50.00==Duan 2 - £50&&60.00==Duan 3 - £60|||type|textarea||name|duangradingnames||title|Enter form/s for Duan Grading|||type|info_line||name|formsrequire||title|please enter: Duan 1 - 1 form, Duan 2 - 2 forms, Duan 3 - 3 forms|||type|info_line||name|heading_payment||title|<div style='color: #000; font-size: 10pt; font-weight: bold; margin-top: 10pt; text-decoration: underline;'>Payment Options</div>|||type|checkbox||name|deposit_300||title|Course Deposit of £300 <em style='font-weight: normal; font-size: 8pt;'>(leave unchecked if paying full amount)</em>||value|300|||type|select||name|payment_method||title|Payment Method||required|1||selections|0.00==Debit or Credit  Card - Stripe&&0.00==Bank Transfer|||type|info_line||name|disc||title|<em style='color: blue;'>NOTE: Discount code cannot be used in conjunction with the member/instructor discount|||type|info_line||name|bhqa_bank_transfer_info||title|<b>Bank Transfer Details</b><br/>Bank: TSB<br />Name: Deyin Event Management Ltd <br />Sort Code: 772710<br />Acc. No: 00062005 <br/>IBAN: GB84TSBS77271000062005 <br/>BIC: TSBSGB2AXXX|||type|checkbox_text||name|deyin_disclaimer||title|I accept all conditions on the Event Participant Disclaimer||required|1

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