CLTS Health & Wellness Referral Form
Yoganics Hawaii  808-328-2250 
Contact: Jennifer  www.yoganicshawaii.com yoganics@gmail.com
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Yoga for children of differing abilities.
As evidenced by the literature reviewed, much of what is known about the role of MBC practices is that it can help influence self-regulation. Which makes yoga an effective activity for children with differing abilities. Oftentimes the negative school behaviors by children and adolescents have been attributed to excessive or prolonged stress (Hagins et al., 2013). Having an increased awareness of one's body position and the senses of movement can have a profound impact on how one perceives their outer world. A three month yoga program facilitated twice weekly  indicated that 83% of children reported multiple positive benefits of yoga practice such as feeling happy, having fun, feeling relaxed and feeling stronger (Dai et al. , 2015). The National Library of Medicine maintains that regular physical activity is the foundation of maintaining a healthy lifestyle and yoga is an easy and cost friendly exercise for health promotion.
Student Name & Nickname  *
Student's interests and abilities. 
Parent or Guardian Name *
School Name & Grade
Parent's Phone number *
Preferred day and time for after school instruction. 
Medical diagnosis. List any questions or concerns. *
Referred by: name and email. *
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