Yoga Study Application

Yoga Teacher Training Application

For which of the following programs are you applying? *

January - May 2020 Tuesday Nights

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Name *

First

Last

Address *

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City

State

Zip Code

Country

Email *

Phone Number *

Select One *

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.

Submit

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.