Registration Form Thanks for choosing Uplift Yourself! We are committed to creating a safe and comfortable environment that uplifts your health and overall well-being. We look forward to working with you! (* = required) Name* First Last Phone*Email* How did you hear about us?*Google SearchFriendHealth ProfessionalFlyerOtherInterested in*Beginner ClassPrivate Qigong SessionPrivate Ren Xue SessionOtherWe have many modifications to our practices that allow all levels to benefit from qigong. Please let us know any injury or illness that you are currently working on improving that may affect your practice so that we are about to best accommodate your needs. Please list any medications if necessary: Special ConditionsPlease list any specific questions or comments and we will reply to you within the next business day. Thank you!EmailThis field is for validation purposes and should be left unchanged.