Registration: Conscious Breathing in the Classroom
Please complete this form to register for Conscious Breathing in the Classroom Program. Your privacy is protected. All information is kept confidential, and is not shared with 3rd parties.
Conscious Breathing in the Classroom
First Name *
Last Name *
Email Address *
City *
Country *
1 (a) Are you taking this as a Teacher or Parent? If YES: sign Waiver A for Teachers and Parents, and answer the following questions. *
Required
1 (b) Do you want the Programme Manual in English?
1 (c) Do you want the Programme Manual in another language (Spanish, French, Arabic, Mandarin, Turkish, Dutch, German, Swedish, Estonian, Italian, Portuguese,) PLEASE SPECIFY:
1 (d) If you are a Teacher please tell us about your class.
1 (d) Number of Children in your class
1 (d) Number of Special needs children in your class
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