Registration Form - Hatha Teacher Training - Sonia Sumar Method - Module 2 (100H) - Online 2020
This is the first part of our 200H program that will be offer for the first time on live streaming format. Please make sure to answer all the questions.
Where did you hear about the training? Did one of our program coordinators encourage you to sign up? Or from YSC office/website/social media pages. Please list the sites/names for us. Thank you! *
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!
Email
I am aware this is a live streaming program and I will organize my schedule to be available at dates and times of training from ates: November 30-December 20 (English) Exams and Graduation January 08-10, 2021 Times: Monday/Wednesday/Friday from 08am-11:30am (EST Florida time)Saturday and Sunday 08:00am-11:30am/ 01:00- 5:00pm(EST) *
I am aware of the dates for the program Jates: November 30-December 20 (English) Exams and Graduation January 08-10, 2021 *
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. *
Birth Date *
Occupation *
Gender *
Hatha Yoga Level *
Do you have a child that is physically challenged? *
Yes/No (if yes, please explain below)
Mailing Address *
Please include: Full address, city & zip
Country *
Phone *
Emergency contact *
Please fill in name & number of contact
Have you ever attended our Yoga for the Special Child Part 1 Program before? (if so, please write city, state, date and name of teacher you took the training from) *
Payment (this payment is only valid for the online program - our in person training is $1180 per week of 50H or $2024 for two weeks of training) *
The teacher training experience can be a time of deep emotional connection for some people. Though this process is healing, it can also be stressful. If you have any history of mental illness i.e. depression, anxiety, schizophrenia, bipolar disorder, posttraumatic stress disorder or any form of psychosis, it would be very helpful for your teacher to know in order to be sensitive to your needs. If you are taking medications or have been hospitalized for any of these conditions please describe below.
Please list any prescription medications
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