CPD Yoga and Pregnancy - November 15-17, 2024 - Onlin
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Email *
Where did you hear about our program? 您是如何得知這個活動的? *
Required
If you heard from a program coordinator or other, please tell us the name of coordinator or where you learned about the training.  如果您收到計畫協調員或其他人的來信，請告訴我們協調員的姓名或您從何處了解到培訓。
First Name 名 *
Last Name 姓 *
Type your full name EXACTLY how you want it to appear on the Certificate/Credit Hours (whichever applies) 請準確填寫您希望在證書/學分上顯示的全名（以適用者為準） *
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! 我們將從這裡複製並貼上，因此請按照您希望在學分證明上列印的方式書寫大寫和小寫字母。這裡請大家正確填寫！ 謝謝！
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 on Dates: November 15-17, 2024              Friday 6 pm to 09 pm /  Saturday and Sunday 08 am to 12 pm and 02 pm to 05:30 pm *
I am aware of the dates for the program from November 15-17, 2024 ONLINE LIVE STREAMING *
By registering for this program I agree not to copy materials, record or share videos, photos or any links that are shared with me by Yoga for All Abilities ®, 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 All Abilities. Please sign your name below to acknowledge that you will NOT share the materials. 透過註冊此計劃，我同意不複製 Yoga for All Abilities ®, LLC 與我共享的資料、記錄或分享影片、照片或任何連結。 我了解這些是受版權保護的資料，並由 Yoga For All Abilities 自行決定與我作為註冊計劃參與者分享。請在下面簽名，以確認您不會分享這些教材。 *
Birth Date 生日 *
Occupation 職業 *
Gender| pronouns 性別 *
Hatha Yoga Level 哈達瑜珈程度 *
Do you work with pregnant women, or are you pregnant?  您是否與孕婦一起工作，或者您已經懷孕了嗎？ *
Yes/No  (if yes, please explain below) 是/否（如果是，請在下面解釋）
Mailing Address 郵遞住址 *
Please include: Full address, city, state & zip 請填寫完整的住址
Country 國家 *
Phone 電話 *
Emergency contact 緊急聯絡人 *
Please fill in name & number of contact 請填寫姓名及聯絡電話
Have you ever attended our Yoga for the Special Child or Yoga for All Abilities Part 1 Program before? (if so, please write city, state, date and name of teacher you took the training from) 您以前參加過我們的 特殊兒童瑜伽 或 全方位特殊需求瑜伽 Part 1課程嗎？ （如果是，請寫下城市、州、日期以及接受培訓的老師姓名） *
Payment - ZELLE (941-320-9290) check : please email erin@fivekeysyoga.com for address info *
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. 對某些人來說，教師培訓經驗可能是一段深刻的情感連結的時期。雖然這個過程可以治愈，但也可能會帶來壓力。如果您有任何精神疾病史，即憂鬱症、焦慮症、精神分裂症、雙向情感障礙、創傷後壓力症候群或任何形式的精神病，那麼您的老師了解這一點將非常有幫助，以便能夠敏感地滿足您的需求。如果您正在服用藥物或因任何這些情況住院，請在下面描述。
Please list any prescription medications 請列出目前使用的任何處方藥
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