Registration- Super Saturdays Certified Laughter Yoga Leader (CLYL)Training with Alexa
Leader Training: Saturday, 9, 16 & 30, 2021
Zoom Sessions 12 Noon - 5:00 PM EST (Check your corresponding local time!)
Contact Alexa at (215 ) 478 5669 or alexafd@gmail.com
Email address *
Full Name (as you wish it written on your certificate) *
Email *
Full Mailing Address ( you will receive a hard copy of the certificate and manual after the training. E manual will be sent out before the training.) *
Phone Number *
Emergency Contact and Phone Number *
Are you taking this course for CEU credits? If so, Alexa 's training has been pre approved for 16 CEU credits please check what type of credits you are applying for *
Additional CEUs or Support from your Employer
ACTS-Communities contractor approved. Some of my students have gained CEU credits through NASM (National Academy of Sports Medicine) and AFAA (Athletics and Fitness Association of America).
Employers have often paid for this certification (YMCA, ACTS communities, Hospitals etc.) so please check with your employer if they would cover the costs for your training.
How did you find out about this training? *
Please share a bit about your background and how you imagine using your new Laughter Yoga knowledge and skills. Do you have a particular group you would like to share with (kids, older adults, medical community, corporate world, groups in recovery or are you interested in better self care? *
Training Cost: $425.00 (includes all materials, certificate, 6-months FREE access to Laughter Yoga International's PROZONE, e bonus books from Dr. Kataria, follow up mentoring from Alexa) Payment must be received in a week prior to training. Space is limited so register early. Please click on your payment method and send payment separately. *
Liability Waiver- Online Certified Laughter Yoga Leader (CLYL) Training with Laughter Yoga with Alexa, LLC, January 9, 16 & 30, 2020

Laughter Yoga Information & Liability and Photo Release

Laughter yoga is a fun and healthy exercise regime with beneficial effects for the body, mind and emotions. Like any form of aerobic exercise, it should not be practiced by people with medical problems without first seeking advice from their medical practitioner.
Laughter Yoga should not be considered as a substitute for proper medical consultation for physical, mental and psychological illnesses.
It may not be suitable for everyone. Laughing involves some physical strain and a rise in intra-abdominal pressure.
It is contraindicated for people suffering from

Advanced (bleeding) piles
Any kind of hernia
Any persistent cough
Anything with acute symptoms
Epilepsy, Heart Disease


High blood pressure, Incontinence
Major psychiatric disorders
Severe backache
Or having undergone surgery within the last three months

This list is for guidance only and is not meant to be exhaustive. If in doubt, first consult a trained medical professional for guidance. Anyone already undergoing physician-prescribed therapy should seek the advice of their doctor before reducing or stopping such treatment.
Please use your common sense. If during a session you feel sudden or new pain, please leave the session immediately, or advise the leader if you require assistance.

Please Read This Carefully:
I am participating in Laughter Yoga sessions requiring physical exertion that may be strenuous and may cause physical injury.
I am fully aware of the risks and hazards involved.
I am physically fit and I have no medical condition that would prevent my full participation in Laughter Yoga sessions, or if I have any medical problems or conditions I have fully revealed these to the Laughter Yoga Teacher before each session.
I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the sessions, and knowingly, voluntarily and expressly waive any claim I may have against Alexa Fong Drubay, Laughter Yoga with Alexa, LLC , Dr. Kataria School of Laughter Yoga, Laughter Yoga International, their leaders, teachers, employees or assistants for injury or damages that I may sustain as a result of my participation. I agree that I, my heirs or legal representatives forever release waive, discharge and covenant not to sue for any injury or death caused by their negligence or other acts.

I understand that photographs/video recordings may be taken during this training event, and I have no objection to their use on the club website, training and promotional purposes.


I have read the above release and waiver and fully understand its contents. My typed name below signifies my voluntarily agreement to the terms and conditions stated above. Type name and date. *
See you in January!
Thank you for registering for this training. I look forward to meeting you and to our 3 Super Saturdays together! What a great way to start of the new year! If you have any questions, you know where to find me. Much gratitude laughter, Alexa
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy