The Sonia Sumar Method - Yoga for All Abilities - 95H Certification Program - Part 1 - Chicago 2024 - July 22-27, 2024  - Hybrid
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Email *
Where did you hear about the training?  Did one of our program coordinators encourage you to sign up? Or from YSC office/website/social media pages.  Please list the sites/names for us. Thank you!   *
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Please tell us the coordinators name below. If you found us through another social media profile or page, please tell us who or where. Example: Yogaville, IYI, IAYT, YA, Thank you!   *
First Name *
Last Name *
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!
I am aware this is an IN PERSON program with Covid Protocols in place-- including mandatory vaccination or proof of exemption, masking and rapid testing before each day begins.   *
I am aware that the dates for the program are Friday to Sunday, July 22-27, 2024,  from 09 am to 05 pm, with a one-hour break for lunch.   *
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, or photos and  will not do any recordings of the training. Please write: I agree. *
Birth Date *
Occupation *
Gender *
Hatha Yoga Level *
Do you have a child that is physically challenged? *
Yes/No  (if yes, please explain below)
Mailing Address *
Please include: Full mailing address, city, state & zip
Country *
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Emergency contact *
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) *
Payment *
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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 *
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