Yoga Study Application

Yoga Teacher Training Application

Which of the following programs are you applying for? *

January-May 2019 Tuesday Night Program

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Name *

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Last

Address *

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City

State

Zip Code

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Email *

Phone Number *

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Date of birth: *

Current Occupation: *

Emergency Contact (name & phone) *

How did you hear about our training program? *

If Other please specify: *

Why do you practice yoga? What benefits are most important to you? *

How long have you been practicing yoga? What style do you practice the most? *

What is your primary objective for this training? To teach yoga? Personal growth? Please elaborate. *

Do you have a particular style of yoga or a population (i.e. seniors, kids, athletes, etc) that you are interested in teaching? *

Please list any past injuries, surgeries and illnesses. *

Please describe how you function in a group/classroom setting? What do you enjoy about it? What are your challenges? *

Payment Info
Please let us know which payment method you prefer.

200-hr Program Payment Options (Note: You can change your option if you so choose upon acceptance into the program): *

Signature

By typing my name below, I am asserting that all the information included in my application is accurate. *

A $300 deposit is due with your registration. Once you click Submit, you will be taken to a page to make your deposit. Upon acceptance, we will contact you to confirm your program payment preference and review all pertinent information.

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Yoga Teacher Training Application

Payment InfoPlease let us know which payment method you prefer.

Signature

Payment Info
Please let us know which payment method you prefer.