Registration Form - Yoga for the Special Child 95H Certification Program - Part 2 - Online Program October 19-23 & 26-30
Please fill in all fields that applies to you
Where did you hear about our program? *
If you heard from a program coordinator or other, please tell us the name of coordinator or where you learned about the training.
First Name *
Last Name *
Type your full name EXACTLY how you want it to appear on the Certificate/Credit Hours (whichever applies) *
We will copy and paste from here, so please write capitals and lower case letters the way you want it to be printed on credit hours. Please be diligent here! Thanks!
I am aware this is a live streaming program and I will organize my schedule to be available at dates and times of training: 8:00 am- 10:30 am and 2:00-4:30 pm EST. *
I am aware of the dates for the program from October 19-23 &26-30, 2020 *
By registering for this program I agree not to copy materials, share videos or any links that are shared with me by Yoga For The Special Child®, LLC. I understand that these are copyrighted materials and are shared with me as a registered program participant at the sole discretion of Yoga For The Special Child. Please sign your name below to acknowledge that you will NOT share the materials. *
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