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Nesheemah Kids Yoga Teacher Training Registration Form
Name: First, Last *
Birthdate: Month, Day, Year *
Email Address: (This is how you will be notified when your registration is confirmed) *
Address: Street, City, State, Zip Code *
Home phone number *
Cell phone Number *
Which training are you registering for: *
How did you hear about this training? *
If you checked Friend's name please tell us who your friend is:
Are you a classroom teacher? If yes, what is your position/title/school? What ages do you teach? How long have you been teaching? *
Do you teach yoga? Adults? Children? What ages/grade? Where? How long have you taught? *
Do you practice yoga? (Not a prerequisite for this training.) If yes, describe your practice: Where? How often? Who are your teachers? *
Do you have a meditation practice? (Not a prerequisite for this training.) If yes, what type of meditation? Where? How often? *
Do you hold any Yoga Alliance certifications? RYT? 200? 300? 500? E-RYT? Please list. *
Please list any yoga programs, workshops or trainings you have taken, including certification trainings (dates of program, dates of completion). *
Have you attended a workshop with Nancy? If yes, where/when? *
Why are you registering for this training? Please share what you are looking to learn/take away. *
In what area(s) do you anticipate needing the most support/education/encouragement? *
Emergency Contacts: Please list 2. Include name, relationship and phone number *
Acceptance & Certification. PLEASE TYPE YOUR NAME BY WAY OF YOUR SIGNATURE Nesheemah Kids (NK) reserves the right to accept or reject any applicant. NK reserves the right to reject or terminate any student from the program, who in the sole discretion of the Director and Lead Teacher, does not demonstrate sufficient progress or has been determined by NK in its sole discretion to be a disruptive influence on the program. In order to receive certification, trainees must demonstrate the knowledge and skills necessary to safely and competently teach using the Nesheemah Kids Method. Should students require additional training, such tuition may be offered at a discounted rate. The Lead Teacher will determine whether a student has fulfilled all of the requirements of this program. Upon satisfactory completion of all the requirements of the Nesheemah Kids Yoga Teacher Training course, a Nesheemah Kids Yoga Certificate of Completion will be issued. NK is a RCYS (Registered Children Yoga School) with the national Yoga Alliance. Students desiring to become a Registered Children’s Yoga Teacher (RCYT) with the Yoga Alliance may submit a copy of the Nesheemah Kids Certificate of Completion to the Yoga Alliance, together with any other requirements (RYT) and fees required by the Yoga Alliance. Students may audit segments of this course at an adjusted cost. Trainees who demonstrate a thorough understanding of the Nesheemah Kids Method may be issued a special Certificate, upon request, by the Lead Teacher. ATTENDANCE & PRACTICE TEACHING Attendance and full participation at all face-to-face sessions, and at supervised practice-teaching sessions, are mandatory for certification in Nesheemah Kids. Students seeking or needing private study with the Lead Teacher will bear the additional cost for private sessions at a discounted rate. Trainees are required to teach at least 4 group children’s yoga classes. As part of this program teaching must be documented using the NKYTT feedback form (provided during the training). HOME ASSIGNMENTS Students are responsible for completing reading and study assignments, practice-teaching, and providing the Lead Teacher with lesson plans and feedback forms for practice classes. COURSE FEE: The $100 non-refundable registration fee must accompany this application. The early bird cost of the Nesheemah Kids Yoga Teacher Training course is $1,700. The fees after the early bird discount: $100 non-refundable deposit plus tuition $1850. The tuition includes the cost for all the weeks, all materials including the Training Manual. The balance will be due before the program begins, paid either in full or in installments. Arrangements for a monthly payment plan can be made upon request and personal need. The cost of books and other materials is not included in the course fee. Students are not entitled to any refund, credit, or adjustment resulting from any failure to complete or uphold the course requirements. Private Training: For students pursuing private teacher training with the Lead Teacher, different arrangements will be made on a case-by-case basis. PROFESSIONAL BEHAVIOR & ETHICAL CONDUCT Students and graduates are expected to conduct themselves in full compliance with the Code of Ethics that accompanies this agreement, and are expected to practice ethical and professional behavior. PROFESSIONAL LIABILITY INSURANCE It is highly recommended that students obtain professional liability insurance once they begin teaching. The cost of this coverage is not included in the cost of the program. DECLARATION OF DISCLOSURE & ACCEPTANCE OF TERMS I hereby declare that the information I have provided in this application is true to the best of my knowledge. I understand that misrepresentation of this information constitutes a violation of the professional ethics expected of yoga teachers, and may result in termination from the program, or revocation of certification. I have read this application as well as the Code of Ethics, and accept the conditions and requirements outlined in these documents. I understand that failure to complete the NK certification requirements will result in forfeiture of certification. I also understand that I am not entitled to any refunds, credits, or adjustments resulting from my failure to complete or uphold the course requirements. Nesheemah Kids does not discriminate on the basis of race, color, religion, national origin, gender, age, marital status, sexual preference, or disability. The information in this application will be treated as confidential. PHOTOGRAPHIC RELEASE: I grant NSC and associates permission to photograph and video me and I agree that they may use such photographs of me, with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. *
PAY HERE 👉 Click on this link to pay your non-refundable $100 registration fee. https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=9KTSA32U87HUN *
For group school teacher discount email nancysiegelconsulting@gmail.com or call 201-390-2809
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