Waiting list - Yoga for the Special Child 95H Certification Program - Part 1 - Online Program Dates will be confirmed
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First Name *
Last Name *
Email *
Birth Date *
Gender *
Do you have a child that is physically challenged? *
Yes/No  (if yes, please explain below)
Country *
Mobile phone number *
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) *
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