Student name: _________________________________________

Age: ______  Gender:  M  F

Parent/guardian name: _________________________________________

E-mail: ____________________________________

Cell phone: __________________  Home phone: __________________

Classes are held in the Livingston Learning Center, Tillett Hall, Rutgers University Livingston Campus, 53 Avenue E, Piscataway, NJ 08845.

All students should register for the two-hour class; students will be grouped by level within the class. In addition, more advanced students may apply for the extended hour class.

Mark the semester of this registration. Each semester has 12 classes.

Please make your check payable to the Feng Yun Go School.

Students are expected to attend all scheduled classes, and tuition is not refundable. Arrangements for credit, which can be applied to a future Feng Yun Go School activity, must be made at least one week in advance of any planned absence. The minimum enrollment for new students is 12 classes.

If you need advice or have questions, please contact Feng Yun.