Registration Form - Individual w/Purchase Order

Registration Form for Individual w/Purchase Order
Yoga 4 Classrooms, LLC
2 Punkintown Road, Suite 341
South Berwick, ME 03908

Phone: 603-766-4483
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Instructions

Please read before continuing:
This registration form can be utilized for registering a single participant for a single Yoga 4 Classrooms workshop or training using a Purchase Order. If you are using a credit card for payment, please do not use this form - return to the relevant course/training product page and register directly through the website.

Please complete all relevant fields and upload your purchase order where requested. Please note that registrations are not final until registration and the related purchase order have been received. The billing contact will then be invoiced via email.

If you are trying to register for a workshop or training sponsored by by PESI, CREC, BOCES, ECSC, UNH, etc., please return to open the relevant training product page and choose the relevant registration link. Questions? Call 603-766-4483, x1.
Training Information
Please select the training for which you are registering.*
TRAINING DATE/S (for the Self-Paced Online Course, use today's date or the date you could like access provided to the participant)
TRAINING LOCATION (for Self-Paced Online format, enter 'Self-Paced Online'; for a Live Remote format, enter 'Live Remote')*
Registering Party Information

Whom is registering the training participant? (You will enter the Participant info below.)
Name*

First Name Last Name
Title*
Email*
example@example.com
Phone Number*

Area Code Phone Number
School / Organization Information*

School / Organization Name

Street Address

City State / Province

Postal / Zip Code Country
Billing Contact Name, if different than above

First Name Last Name
Billing address, if different than above

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Billing Contact Email if different than above
Billing Contact Phone Number, if different than above

Area Code Phone Number
Participant Information

Please complete ALL fields for the training participant. If you are registering more than 1 participant, return to the relevant course/training page and choose the appropriate registration option.
PARTICIPANT NAME*
Participant Role/Position & Grade Levels*
Participant Cell / Text Phone Number (REQUIRED for urgent or emergency contact only)*
Participant Email Address*
If participant is registering for IMPLEMENT Leader Training, please upload his/her certificate of completion for the prerequisite foundational course: Yoga & Mindfulness in the Classroom: Trauma-Informed Tools to Support SEL, Student Success and Climate.

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Purchase Order Information

Again, this registration form is reserved for purchase order registrations only. If you would prefer to pay via credit card and a purchase order is not being used, please return to the training product page and register directly through our website: https://yoga4classrooms.com/products/
PURCHASE ORDER NUMBER*
UPLOAD PURCHASE ORDER (Required)*
How did you hear about this training/course opportunity?
How did you (or the participant you are registering) hear about us?*
Terms and Conditions Agreement
If you are registering someone other than yourself, by clicking the box below you are agreeing to our terms & conditions on the participants's behalf. Please be sure to share these terms with the participant.
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Registration Form for Individual w/Purchase Order

Instructions

Training Information

Registering Party Information

Participant Information

Purchase Order Information

How did you hear about this training/course opportunity?

Terms and Conditions Agreement