TSY April 2024 Registration — collective being

Registration Form

8 Week Trauma-Sensitive Yoga Program (ONLINE)

October - December 2024

Thank you for completing the registration form. Once you submit this form you will be re-directed to Humanitix to process your payment for the program. Please note your registration for the program is not confirmed until we receive your payment. To arrange payment through NDIS, a payment plan or if you are First Nations, please contact hello@collectivebeing.org

Name

First Name

Last Name

Pronouns

Phone

(###)

###

####

Postal Address (we will post you a copy of the program workbook)

Emergency contact name and phone number

Please share an emergency name and contact number (we will only contact this person in the event of an emergency and, when possible, will check with you before contacting them)

Have you participated in a TCTSY or trauma sensitive yoga course previously?

Have you participated in any of Collective Being’s programs, meditations or classes before?

Do you have any access needs, support requirements, injuries or allergies that you would like to share with us?

Are you intending to use NDIS to fund this course?

Yes

Have you been hospitalised in the last six months?

Yes

What brings you to the program at this time?

Provide as much or as little information as you would like

What are you hoping to get out of the TSY program?

Provide as much or as little information as you would like

Is there anything that concerns/ worries you about doing the program?