Training Forms Select the form you’d like to submit… 95 Hr Program Completion Application 200 Hr Program Enrollment Application Certificate Replacement Manual Replacement Purchase Order Registration Refresher Request Transfer Request Purchase Order Registration ChildLight Education Company, LLC P.O. Box 247 Exeter, NH 03833 EIN# 84-3119503 Download ChildLight's W-9 School / Organization Information* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern 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CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Is your billing address different?* Yes No Billing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Billing Name* First Last Billing Email* Billing Phone* Please select training you wish to attend.*Yoga & Mindfulness for ChildrenYoga & Mindfulness for Children: Advanced Teaching ConceptsYoga & Mindfulness in SchoolsYoga for Babies & ToddlersYoga & Mindfulness for Tweens & TeensYoga & Mindfulness for Diverse AbilitiesPrenatal Yoga FoundationsPrenatal Yoga Advanced Teaching ConceptsPrenatal Yoga Teacher Certification (RPYS)Trauma Informed Yoga & Mindfulness: PART ONETrauma Informed Yoga & Mindfulness: PART TWOYoga & Mindfulness for AthletesYoga & Mindfulness in the Preschool ClassroomYoga for Physical Education TeachersYin Yoga Module OneYin Yoga Module TwoGentle Yoga for Seniors30-Hour Yin Yoga School95-Hour Children's Yoga School (RCYS)85-Hour Prenatal Yoga School (RPYS)200-Hour Yoga School (RYS)Live Training Date(s) Or Specify "Self-Paced"* 1. Student Information*name, position / grade, phone number, email address2. Student Informationname, position / grade, phone number, email address3. Student Informationname, position / grade, phone number, email address4. Student Informationname, position / grade, phone number, email address5. Student Informationname, position / grade, phone number, email addressIf you need to register additional participants, please email us and include the name of your organization + the training you are registering for in the email.Please check box below if you will be paying by Credit Card. Invoice will be submitted via email to Billing Contact above to be paid online upon receipt of invoice. We will be paying by credit card. If registering with a purchase order, please provide the purchase order number and upload your purchase order below as required. The billing contact provided will be emailed an invoice upon approval of the purchase order within 3 business days. For all multi-day training purchase order registrations, please add a $25 processing fee for 1-2 individuals or $50 processing fee for 3 or more. For all one-day workshops, online or on location, please add a $10 processing fee for 1-2 individuals or $25 processing fee for 3 or more. Payment is due no later than two weeks following the date of service.Purchase Order Terms Agreement* I have read and agreed to the Purchase Order Terms outlined above. PLEASE NOTE that the purchase order processing fee must be included on your purchase order in order to be accepted and processed. Purchase Order No.* Upload Purchase Order*Accepted file types: doc, pdf, Max. file size: 20 MB.How did you hear about us?* Terms & Conditions*If you are registering another person for a ChildLight workshop or training, by clicking the box below you are agreeing to our terms & conditions on the registrant's behalf. I agree to the Terms & Conditions. 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