Registration Form - Yoga for the Special Child 95H Certification Program - Part 2 - 2022 Online Program Dates: JUN 03-05 / 10-12 / 17-19  - Times (EST) - Friday 08:00- 11:00am 01:00-03:30pm/ Saturday and Sunday 08:00-11:00am / 01:00-04:00pm
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Email *
First Name *
Last Name *
Where did you hear about our program? *
If you heard from a program coordinator or other, please tell us the name of coordinator or where you learned about the training.  
Type your full name EXACTLY how you want it to appear on the Certificate/Credit Hours (whichever applies) *
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!
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. - Times (EST) - Friday 08:00- 11:00am 01:00-03:30pm/ Saturday and Sunday 08:00-11:00am / 01:00-04:00pm *
I am aware of the dates for the program from JUN 03-05 / 10-12 / 17-19  2022 *
By registering for this program I agree not to copy materials, share videos or any links that are shared with me by Yoga For The Special Child®, 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 The Special Child. Please sign your name below to acknowledge that you will NOT share the materials. *
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