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NKYTT WINTER 2023 Registration Form

Dates:  10 SUNDAYS                Time:  11:0am-5:30pm
February 5, 12, 26
March 5, 12, 19, 26
April 2, 16, 23.

Location: Freedom Within Yoga, 211 Chadwick Rd, Teaneck, NJ 07666
NKYTT WINTER 2023      ~    201-390-2809
Your name: First, Last *
Your cell number *
Email address *
Your birthdate: Month, Day, Year *
Your home number *
Email address (This is how you will be notified when your registration is confirmed.  If you do not receive a confirmation email, your registration did not go through.) *
How did you hear about this training? *
If you answered Friend or colleague:  write friend's name
Do you have a mindfulness practice?  (Not a prerequisite for this training.) *
Do you practice yoga?  (Not a prerequisite for this training.) *
Are you a classroom teacher?  Director? Administrator? If yes, what is your position/title/school?  What ages do you teach?  How long have you been teaching?   Do you work with children in another capacity?  Please specify. *
Do you teach yoga?  Adults?  Children?  What ages/grade?  Where?  How long have you taught?  
Do you hold any Yoga Alliance  certifications?  RCYT, RYT-200, 300, 500  E-RYT. Please list. *
Why are you registering for this training?  Please share what you are looking to learn/take away. *
Emergency Contacts:   Please list 2 with name, relationship and phone number. *

Nancy Siegel Consulting, LLC (NSC) and Nesheemah Kids Yoga Teacher Training (NKYTT) reserve the right to accept or reject any applicant.   NSC 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 NSC 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 NKYTT course, a Nesheemah Kids Yoga Certificate of Completion will be issued.  NKYTT 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 and fees required by the Yoga Alliance.   

ATTENDANCE & PRACTICE TEACHING Attendance and full participation, and at supervised practice-teaching sessions, are mandatory for certification in NKYTT. 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 Group Training: The cost of the Nesheemah Kids Yoga Teacher Training course is $1,500.  This includes a $100 non-refundable registration fee (must accompany this application). 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.  

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.   NSC 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.    Acceptance and Payment: (PLEASE TYPE YOUR NAME BY WAY OF ACCEPTANCE.)    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.                                                                                                                 PLEASE TYPE YOUR NAME BY WAY OF ACCEPTANCE.  
Total Fee is $1500.  
$100 non-refundable deposit due with registration. $1400 TUITION DUE IN FULL BEFORE TRAINING BEGINS.    
$100 non-refundable deposit:  Click on this link to pay. *
$1400/tuition.  DUE WITH REGISTRATION.  Choose payment method: *
If other, list how you will be paying:
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