Yoga Child Teacher Training Registration Form
Teacher Training 2010-All Child Programs
Please print and mail this form with payment to :
Yoga Child, inc., PO Box 63730, Philadelphia PA 19147
1. Last Name:
First Name:
2. Full Address:
3. Phone number:
4. Email Address:
5. Personal Background: (please include any yoga experience or certifications, any experience you have working with children, or any professional degrees)
6. Are you a parent? If so what are the ages of your children?
7. Select your program(s) by circling one of the options below:
TEACHING TO CHILDREN WHO ARE IN PRE SCHOOL THROUGH 5TH GRADE-SELECT YOUR PURPLE OPTION BELOW
1. YC Core Training I PLUS Apprenticeship Discount Package-Pre School- 5th Grade, $1648
If you would like to enroll in this program and become a certified Yoga Child Instructor who would like to teach classes in schools through Yoga Child and to be compensated at a rate of $25-$40/hr for this work then you are required to sign a Non-compete independent contractor agreement and enclose it with this registration form along with a 50% deposit. You are also required to submitted the Pennsylvania Child Abuse clearance form and Pennsylvania Criminal background Check as completion of these forms is a pre- requisite to apprentice and teach during the field study portion of the training. These two forms must be submitted to Yoga Child by March 2010.You will also receive instructions as to how to apply for FBI clearances at the initiation of the training.
If you would like to enroll in this program and become a Certified and Licensed Yoga Child Instructor, then you are required to sign a Licensing Agreement and Non-compete agreement for Licensees and enclose it with this registration form along with a 50% deposit. You are also required to submitted the Pennsylvania Child Abuse clearance form and Pennsylvania Criminal background Check as completion of these forms is a pre- requisite to apprentice and teach during the field study portion of the training. If you are attending from out of state you must submit the appropriate forms from your state. These two forms must be submitted to Yoga Child byMarch 2010.You will also receive instructions as to how to apply for FBI clearances at the initiation of the training.
If you are attending from out of state please specify where you will be completing your apprenticeship:
Circle one choice below:
a. I will fulfill my apprenticeship from my home town
b. I will remain in Philadelphia to fulfill my apprenticeship
2. Apprenticeship Only-Pre-K through 5th Grade, $499- I completed the YC Core I training I in _____________(date), and am now enrolling in the apprenticeship. Please note that you can not enroll in the apprenticeship unless you have completed the YC core training.
TEACHING TO CHILDREN WHO ARE IN 6TH-12TH GRADE-SELECT YOUR ORANGE OPTION BELOW
1. YC Core Training II PLUS Apprenticeship Discount Package-Pre School-grades 6-12 - $1224.00
If you would like to enroll in this program and would like to teach classes in schools through Yoga Child and to be compensated at a rate of $25-$40/hr for this work, then you are required to sign the Non-compete independent contractor ageement,and enclose it with this registration form along with a 50% deposit. You are also required to apply for the Pennsylvania Child Abuse clearance form and Pennsylvania Criminal background Check and submit these to Yoga Child by March 1 2010. I understand that completion of these is a pre- requisite to apprentice and teach during the field study portion of the training. You will also receive instructions as to how to apply for FBI clearances at the initiation of the training.
If you would like to enroll in this program and become a Certified and Licensed Yoga Child Instructor, then you are required to sign a Licensing Agreement and Non-compete agreement for Licensees and enclose it with this registration form along with a 50% deposit. You are also required to submitted the Pennsylvania Child Abuse clearance form and Pennsylvania Criminal background Check as completion of these forms is a pre- requisite to apprentice and teach during the field study portion of the training. If you are attending from out of state you must submit the appropriate forms from your state. These two forms must be submitted to Yoga Child byMarch 2010.You will also receive instructions as to how to apply for FBI clearances at the initiation of the training.
If you are attending from out of state please specify where you will be completing your apprenticeship:
Circle one choice below:
a. I will fulfill my apprenticeship from my home town
b. I will remain in Philadelphia to fulfill my apprenticeship
3. Apprenticeship Only-6th-12th grade-$399- I completed the YC Core training II in _____________(date), and am now enrolling in the apprenticeship. Please note that you can not enroll in the apprenticeship unless you have completed the YC core II training.
TEACHING TO FAMILIES WITH CHILDREN AGES 2-10 OR TO CHILDREN WITH CAREGIVERS PRESENT
1. Yoga Child Family Yoga Training-$400- I am currently registered for YC Core Training I or have completed Core Training I on __________________. ( date) Please note that YC Core training I is a pre requisite to Family Yoga Training. Please complete the non-compete trainee agreement. This link will be active and the agreement will be available in November of 2009.
TEACHING YOGA AND MINDFULNESS TO CHILDREN IN SPECIAL SETTINGS:
HOSPITALS, THERAPEUTIC SETTINGS, AND CLASSROOMS WHERE STUDENTS WILL BE AT THEIR DESK
1. Desk and Chair Training, $999- Please note that this training is designed for professionals who are already working with children in one of the above capacities. The focus of this training will be teaching breath work, meditations, and mindfulness exercises designed to help you reduce stress and anxiety, improve ability to focus and encourage self expression with your students and your clients and your patients. Yoga asana and yoga games will be a small part of this training, but will not be the primary focus. I have read, signed and enclosed the non-compete trainee agreement. (Please note that this agreement is different than the non-compete indepenent contractor agreement. It is not available on line yet. It will be posted by September 2009.)
PRIVATELY SCHEDULED TRAININGS FOR SCHOOLS AND THEIR STAFF
This program has been designed for public, private, charter schools and school districts who wish to have Gail Silver come to their school or district and train school staff to teach the Yoga Child Yoga and Mindfulness curriculum.
This training is designed based to meet your needs. It can cover pre-school through Grade 12 or provide a special focus for any age group in-between.
Base Rates begin at $15,000 for a 30 hour training and include the training cost, teaching manual, Yoga Child CD, Yoga Child curriculum, and lesson plans for up to 10 trainees or staff members. Thereafer additional staff members are $999 per staff member. Training time is typically from 4-7pm one day per week for 10 weeks.
If this is not feasible for your school, consider sending your staff to one of our YC Core trainings or to our Desk and Chair Training.
Private Trainings are typically booked up to one year in advance, but often exceptions can be made.
Please contact Gail Silver directly at gail@yogachild.net with questions or to book your training.
5. Select your method of Payment:
a. Credit Card: Visa or Mastercard
i. My Credit card number is:
ii. The Expiration Date on my card is:
Fifty percent of the program fee will be charged to your card upon receipt of your registration form and the remaining 50% will be charged 1 week prior to the start of the training unless you have selected a monthly payment plan. If you will be paying monthly then please complete the Installment Plan Agreement. , and return with your registration form. Please note that 50% is due with the registration form and that the balance will be charged monthly on the first of the month and that program fees must be paid in full by March 1, 2010. Your monthly charge will be pro rated so that full payment is made by March 1, 2010. A credit card is required for installment plans.
b. I am paying by Check, payable to Yoga Child.
i. Enclosed is a check for the full amount of my program fee.
ii. Enclosed is a check for 50% of the program fee.
a. I will mail in the balance by March 1, 2010.
b. Please charge my credit card in monthly installments until March 1, 2010 until the balance is paid. I provided the card number in #5.
c. Please charge the 50% balance to my credit card on March 1, 2010. I provided the card number in #5
6. Refund Policy: Your program fee is fully refundable (less a $125 processing fee) up until December 31, 2009. As of January 1, 2010 you can receive a 50% refund of any deposits or payments made. The remaining 50% can be applied to a future Yoga Child Training or shall be forfeited.