200 Hour Application

*All fields are required

Contact Info
Name:
Address:
Address:
City:
State:
Zip/Postal Code:
Country:
Best Phone# To Reach You:
Email:
Age Group:
Gender:
Emergency Contact Name:
Emergency Contact Phone:
How did you hear about our Teacher Trainings/Immersions?  In Studio Google Yahoo Friend Yoga Alliance Other
If you choose other please tell us how you heard:
Which 200-Hour Program are you applying for?  Fall 1-month Intensive Fall 3-month program January 1-month Intensive Spring 3-month program April 1-month Intensive July 1-month Intensive Costa Rica 1-month Intensive
   

Yoga Background
Do You Currently Hold a 200 Hour RYT Certificate?
Name of 200 Hour Certification School:
What style of yoga do you currently practice?
What styles have you studied before:
Where?
With Whom?
For How Long?
Do you have a regular daily practice? If so please describe it:
Please tell us about your health: injuries, conditions, illnesses or anything else that
might impact you, your practice and prepration to teach:
So how is your mindset lately?
Credit Card Number:
Expiration Date:
 
You acknowledge that all deposits are non-refundable.