TT Hanna Somatics Application: March 2025

Training Sign up: Hanna Somatics with Lisa Petersen
We are happy you want to join us!

This is STEP 2 of the application process.
Please complete this form sign it and submit it.

(You should have already completed Step 1 first:
Enrolling and paying the fee.)

Enjoy getting started on your journey!
YOUR DETAILS
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Confirm Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date of Birth*

DayMonthYear
Date
Gender*

FemaleMaleNon-binary
What is the name you would like to have on your certificate?*
Emergency contact person & phone number*
Please enter name, relationship, phone and email
How did you hear about this program? (be as specific as you can please in blank below this question)

Referral: who referred you?Google search: What did you search for?I am a student at Yoga MovesAdvertisements: Which media?I am a student from Lisa PetersenSocial Media. Recall which?Other
How I heard:
TEACHING EXPERIENCE & ABOUT YOU
Do you presently teach a mind-body discipline?*

YesNo
TEACHING EXPERIENCE: please tell us what, if any teaching experience you have (yoga?) other relevant experience.*
If yes, please mention name of school, teacher and style of movement or therapy
MOTIVATION: Tell us why you want to follow this program? What are your expectations for this training? What do you hope to achieve personally?*
What would you like to do after this program?*
ABOUT YOUR HEALTH (Confidential)
How do you rate your overall health right now?*

ExcellentGoodFair (describe below)Some Challenges (describe below)
Can you elaborate on the specific issues you mentioned above?
Do you have any injuries, medical conditions, surgeries or mental health challenges? (anything that may affect your participation in the training?)
Are there any other 'situations' that might effect your participation?
FINANCIAL AGREEMENT
I am applying for the training course: Hanna Somatics (100+ hours) with Lisa Petersen offered via Yoga Moves. *
The published rates are determined when I pay my training:
Until 1 June 2024 €1,850
Until October €1,950
Until 1 Jan 2025 €2,050
Until 1 Feb €2,150
Regular €2,250
Installments are available at the regular price plus €50. - Conditions apply
I have chosen the following financial arrangement*
Prices are listed on the yoga moves training page website and the amount I pay will be reflected on my bsport enrollment and payment choice for which I have received an email receipt.
GENERAL CONDITIONS AGREEMENT
Date*

DayMonthYear
Date
SIGNATURE: By signing this I acknowledge that I have read and agree to these terms.*

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Training Sign up: Hanna Somatics with Lisa Petersen

YOUR DETAILS

TEACHING EXPERIENCE & ABOUT YOU

ABOUT YOUR HEALTH (Confidential)

FINANCIAL AGREEMENT

GENERAL CONDITIONS AGREEMENT