200 Hour Yoga Teacher Training

Application 2016-2017

 

Name ____________________________________________________             

Address__________________________________________________________________________________________

Home Phone_________________________________ Cell Phone____________________________________________

Email address (print clearly) __________________________________________________________  Age____________

How did you hear about our program? __________________________________________________________________

_________________________________________________________________________________________________

Why are you interested in this teacher training at this time?__________________________________________________

_________________________________________________________________________________________________

What types of yoga, how long and with whom have you practiced?_____________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

What do you currently do and how do you think this training will inform what you do? ______________________________

_________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

What are your long-term goals?_________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

Tell us about your physical health. _______________________________________________________________________

__________________________________________________________________________________________________

List any current medications you are taking _______________________________________________________________

Tell us about your emotional and mental health ____________________________________________________________

__________________________________________________________________________________________________

Do you want to teach yoga, deepen your own practice and/or enrich your current occupation and why? ________________

_________________________________________________________________________________________________

__________________________________________________________________________________________________

Tell us about any teaching experience you have had teaching anything._________________________________________

__________________________________________________________________________________________________

Tell us about your diet, exercise habits and beliefs? _________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

What are your expectations for this training?_______________________________________________________________

__________________________________________________________________________________________________

Is there anything else we should know about you?__________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

Please ask any questions you may have for us. ____________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

If accepted into the program please note the following: Tuition = $2,750 and includes a $250 registration deposit that is not refundable. Payment plans are available. A needs based scholarship towards a portion of tuition fees is available. Training dates are firm but subject to change.

Complete and submit this application with your signature and payment of $250 non-refundable deposit.

Refunds of the balance after deposit will be issued for cancellation requests no later than two weeks prior to the scheduled teacher training. With 8 days notice before the training, if you can no longer attend the training that you have registered for, we will gladly give you credit (minus the $250 registration fee) towards a future workshop, event or training. We cannot refund or credit your enrollment cost within 7 days of the training. If The Center cancels the event for any reason, you will be issued a full refund. 

 

Sign here to submit application and agree to terms: Signature _______________________________________________________