Continuous Professional Development - Down Syndrome and Cerebral Palsy

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Continuous Professional Development - Down Syndrome and Cerebral Palsy - London 2024

Please fill in all fields

Name *

Gender *

Hatha Yoga Level *

Beginner

Intermediate

Advanced

Birth Date *

Occupation *

Do you have a child that is physically challenged? *

Yes/No (if yes, please explain below)

Address *

Please include: Full address, city & zip

Country *

Phone *

Email *

Emergency contact *

Please fill in name & number of contact

Have you attended a Yoga for the Special Child program before? *

If you have attended, please state where & when

I wish to attend the program in *

please state, city/country

I wish to attend the program commencing

please fill in date

YYYY

Current Total Payment *

Program Location *

Payment *

Early Bird £380 (until May 01, 2024) - bank transfer

Deposit £160 (credit card - you will receive a link)

Full payment £470 (credit card - you will receive a link)

Wire transfer (deposit £150/ full payment £450 - balance due 30 days prior to the program)

Payment on Instalments ( pay monthly - last payment by May 15, 2024)

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.

Please list any prescription medications

Terms and Conditions

1. To confirm your reservation, please make full payment or a minimum deposit of £150. Payment in full must be received 30 days prior to program start date. Payments options are Paypal (debit or credit card - no need to have an account with Paypal to use this option) or wire transfer. If you need an invoice to do a wire transfer (for example, your company will pay for your training), please send an email to Renata Sumar Gaertner at renata@specialyoga.com. Add details to speed up the process (name of payer, address, email, name of person taking the course and any other detail needed on invoice.

2. All payments made are non-refundable, unless the program is canceled by Yoga For The Special Child (YSC), in which event you will receive a full refund. However YSC shall not be responsible for refunding airline tickets or hotels under any circumstances.

3. If registrant cancels 10 or more days before the program start date, by way of YSC receiving notice from registrant within that time, the sum of £80 shall be deducted by YSC as an expense of administration. Any balance paid in excess of £80 shall be held for registrant without interest, and may be applied by registrant to another program within one year of cancellation. If not applied within one year, all monies paid shall be forfeited.

4. If registrant cancels less than 10 days before the program start date, the sum of £200 shall be deducted by YSC as an expense of administration. Any balance paid in excess of £200 shall be held by YSC without interest, and may be applied by registrant to another program within one year of cancellation. If not applied within one year, all monies paid shall be forfeited.

5. By signing below, I, the registrant, agree to these terms and conditions.

Full Name *

Date *

YYYY

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms