Registration Form - Yoga for the Special Child 95H Certification Program - Part 1 - Online Program Dates in May and June tba
Please fill in all fields that applies to you
I have already registered for a Part 1 Program in (check below) and I want to transfer my registration to this online program *
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Birth Date *
Your answer
Gender *
Do you have a child that is physically challenged? *
Yes/No (if yes, please explain below)
Your answer
Country *
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Mobile phone number *
Your answer
Do you have WhatsApp? *
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) *
Your answer
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