Registration Form - Individual w/Purchase Order

Registration Form for Individual w/Purchase Order
Yoga 4 Classrooms, LLC
53 Washington St., Suite LL116
Dover, NH 03820

Phone: 603-766-4483
Contact us

EIN# for Purchase Orders: 51-0601197
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 page and choose the appropriate registration option.

Please complete all relevant fields and upload your purchase order. Please note that registrations are not final until registration and related purchase order has 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 the relevant training page and choose the relevant registration link. Questions? Call 603-766-4483.
Training Information
Please select the training for which you are registering. *
Training Start Date (for the Self-Paced Online Course, use today's date)
Training Location / City & State (for Self-Paced Online Course, enter 'online'; for LIVE via ZOOM training, enter 'Live via Zoom') *
Registering Party Information

Whom is registering the training participant?
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.

Browse Files

Cancel of
Purchase Order Information

Again, this registration form is reserved for purchase order registrations only. If you would prefer to pay via credit card, please return to the course page and choose the relevant registration option.
PURCHASE ORDER PROCESSING FEE AGREEMENT *

For all one-day workshops, in person or remote, a I understand a $10 PO processing fee must be added to the purchase order. For all multi-day trainings, in person or remote (IMPLEMENT Leader Training), I understand a $25 PO processing fee must be added to the purchase order. I understand the purchase order processing fee must be included on the purchase order in order to be accepted and processed.
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.
Should be Empty:

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