• Tai Ji Quan: Moving for Better Balance

    Participant Waiver, Registration and Emergency Card
  • The site will contact you directly to confirm your registration!

    Some locations charge a nominal fee for the class. Any fees will be collected by the location directly. This form is for registration only. 

    Please feel free to call your site directly if you have questions!  

    Bethel Senior Center 203-792-3048

    Brookfield Senior Center - PLEASE Call the Center 203-775-5308 before registering

    Canoe Brook Center 203-315-0683

    Cheshire Senior Center -REGISTRATION FOR THIS SITE IS CLOSED AS OF 10/6/2022.  

    Cromwell Senior Center 860-632-3447

    Glastonbury Senior Center 860-652-7646

    Granby Senior Center 860-844-5352

    Groton Thrive 55+ 860-441-6636

    Regional YMCA of Western CT, Brookfield 203-775-4444

    Simsbury Senior Center 860-658-3273

    Sullivan Senior Center, Torrington 860-489-2211

    Southington Community YMCA 860-426-9589

    Westport Center for Senior Activities 203-341-5096

    Wilton Senior Center 203-834-6240

    Windsor Senior Center 860-285-1881

    The Woodbridge Center - REGISTRATION FOR THIS SITE IS CLOSED AS OF 10/28/2022.

     Woodbury Senior Center 203-841-6161

     

     

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  •  - -Pick a Date
  • By typing your name below, you take full responsibility for your voluntary participation in the Tai Ji Quan: Moving for Better Balance class being offered at the site listed below.  You agree to be gentle and work at your own capacity in the class and when practicing outside of class time.  You release the site, the instructor, CT Community Care, The CT Healthy Living Collective, Fuzhong Li, Ph.D., Exercise Alternatives, LLC and the Oregon Research Institute from liability resulting from any injury or discomfort from your attendance and participation. 

    You also agree that Connecticut Community Care Inc., CT Healthy Living Collective and the program location listed above, their employees agents or representatives, may photograph you with television, video, movie or still camera.  The pictures and any statements or voice recordings made at the time of photography or in connection with the photography may be processed in any manner and by whatever method or combination of methods elected.  Furthermore, you agree to waive any right or claim you might have to any compensation, fees or other benefits by use or reuse of the video/photograph and the undersigned hereby releases the organizers from any claim or demands for compensation or liability arising from said use of or publication of said pictures anywhere in perpetuity.  By providing your contact information you consent to receiving correspondence via mail or email from the CT Healthy Living Collective (CHLC) regarding future CHLC programs.

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