Yuan Tze's Livestream Event - Registration form for Financial Assistance

As this event is recorded and available to you to watch at a time that suits you,
registration will remain open throughout the duration of the event and for some time after.

Basic Information

Your name*

First Last

Email*

Enter Email Confirm Email

Phone number*

A mobile number is preferred if possible

If you live outside of New Zealand, please include your country code.

Do you intend on watching the event live or later as a recording? This is just so we have a basic sense of numbers - you can change how you participate as you want to without letting us know*

Live
Later as a recording

Are you a REN XUE Teacher?*

Yes
No

REN XUE Methods*

Please tick below if you are familiar with either or both of the first two methods of REN XUE.

Select All
Tian Yuan - method 1
Di Yuan - method 2

Which region are you in:*

NZ/Australia
Americas
Europe
Other

Other - please provide more details*

Have you learned Tong Yuan, the 4th method of Yuan Gong?*

Yes
No

Livestream Fees

Financial Assistance
We understand that the current situation with coronavirus is having a significant financial impact on many people globally. We appreciate you being open with us to let us know you're in this position. In light of this, we ask that you decide an amount between NZD$0 and NZD$200 that you wish to pay. Please feel free to choose any amount. We fully trust your choice.

How much would you like to pay?*

Please note, amounts will be in New Zealand Dollars

TOTAL TO PAY

$ 0.00

How do you wish to make today's payment?*

Notes:
* Direct Bank Transfer is an option, and for those paying from within New Zealand, is our preferred option. If you are paying from outside of New Zealand transfer fees with your bank or online service will apply. We recommend Transferwise as an online international transfer service, as they have the lowest fees in our experience.
* The bank details are shown above and you will also receive them in a confirmation email once you submit this form.
* Please pay the full amount upon completing your online registration.
* Your registration is not complete until payment is received.

I will make payment via Direct Bank Transfer
Secure online payment using my credit card (Payment via Stripe)
I am not making any payment

Credit Card*

Card Details

Cardholder Name

Medical Question

Have you had, or do you now have, any psychological conditions that may effect your participation in this event? All information shared will be kept private*

Yes
No

Please provide some details about your psychological history:*

Informed Consent Agreement

I am aware that REN XUE was designed to be a safe, effective and efficient alternative modality for health and wellbeing, but it also has its limitations.

To my best knowledge, I have no medical or psychological condition that would prevent me from taking part in this REN XUE event and I assume all responsibility for my participation.

I understand that REN XUE and Yuan Gong are not a substitute for medical attention, examination, diagnosis, or treatment.

I have read, fully understand, and agree to the terms of this Informed Consent Agreement and Supporting Information. I indemnify and release Yuan Tze, REN XUE International and all people operating on their behalf, from all liability for personal damage or injury to myself.

I am signing this agreement voluntarily and recognize that acceptance of these terms serves as complete and unconditional release of all liability to the greatest extent allowed by law.

Informed Consent*

I have read and agree to the above Informed Consent Agreement and Supporting Information

Cancellation & Refund Policy

Yuan Tze's Livestream Event 2020

Cancellations will receive a full refund less $50 (for processing and admin fees).

Cancellation by REN XUE International

In the event that REN XUE International must cancel the retreat for unforeseen reasons, we will notify you as soon as possible and will refund the full fee amount paid.

Cancellation and refund policies*

I have read and agree to the above policies

Name

This field is for validation purposes and should be left unchanged.

Livestream Registration Form

(Financial Assistance)

Basic Information

Livestream Fees

Medical Question

Informed Consent Agreement

Cancellation & Refund Policy