Conference Workshop
 Proposal Form

Please review the information contained on the form.  If any of it is incorrect, use the BACK button on your browser, make your corrections and resubmit the form.  

Please provide all of the relevant information the board needs to consider the proposal fairly and in detail

After review this page to make sure all of the information is correct, click the print button on your browser to and mail it in if you don't think it went through or keep a copy for your own records.  

General Information 
Nameproposalname
Addressproposaladdress
Cityproposalcity
Stateproposalstate
Zipproposalzip
Telephoneproposalphone
Alt Telephone/Faxproposalaltphone
Email Addressproposalemail
GPYTCA Membership #proposalmembernumber
Membership Typeproposalmembertype

 

This is a proposal for a workshop that I would like to presentproposalme
I would like to see this topic in the next annual conferenceproposaltopic
I would like to recommend this presenter to the board for considerationproposalrecommend

 

Proposed Workshop Titleproposaltitle
Proposed Workshop Presenterproposalpresenter

(Please be sure any relevant title that would need to be used in correspondence  and/or publicity. e.g. Sifu, Master, etc...)

Presenter

Name(s) of Presenter/PresentersPresenter1
Presenter2
Presenter3

 

If the proposed presenter is NOT the person submitting this form, is she/he aware of this proposal

Presenteraware

 

Presenter Information 
If different from the person submitting this form 
Namepiname
Addresspiaddress
Citypicity
Statepistate
Zippizip
Telephonepiphone
Alt Telephone/Faxpialtphone
Email Addresspiemail
GPYTCA Memberpimember
Title Or Subject of Workshoppisubject

 

Workshop Description
Please provide a detailed description of the workshop in the space provided below

 

WSDescription

 

Check the category that best describes the focus of the workshop

Tai Chi Formcategorytaichiform Tai Chi Applicationscategorytaichiapplication
Tai Chi Weaponscategorytaichiweapon Philosophycategoryphilosophy
Teachingcategoryteaching Internal DevelopmentcategoryInternalDevelopment
Physical DevelopmentcategoryPhysicalDevelopment Ba GuacategoryBaGua
Hsing YicategoryHsingYi ShaolincategoryShaolin
Other FormscategoryOtherForms Other (Please Explain)categoryOthersExplain

 

Time Requirement

1 hourTR1-0 2 hoursTR2-0

3 hours

TR3-0
1 1/2 hoursTR1-5 2 1/2 hoursTR2-5

 

Does this workshop require a

Single Session

SingleSession

Double Session

DoubleSession

Is this workshop a "follow-up" to a workshop offered at a previous conference?

Follow-up

 

Skill Level or Prerequisite Requirements

Beginner

Beginner

Intermediate

Intermediate AdvancedAdvanced

Push Hands Experience

PushHands Teachers OnlyTeachersOnly

Pre-requisites

PreRequisites

 

Special Considerations

SpaceSpace
WeaponsWeapons
EquipmentEquipment
MiscellaneousMiscellaneous

 

Presenter/Presenters Qualifications

PresentersQualifications

 

 

   

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