Please fill out the form below and answer all of the questions.
Emergency Contact Phone
1. When did you complete your 200 hour yoga teacher training program?
2. Why did you choose that program?
3. Do you teach now?
4. The reason I would like to attend this program is?
5. The area I have the most room to grow is...
6. Describe the evolution of your yoga practice.
7. Have you recently been under the care of a physician for an injury or chronic illness?
*This question is in no way a factor to acceptance into our program! Teacher Training is very physically and mentally challenging at times, we simply want to insure the safety for you, our student throughout this journey.
8. Do you use drugs?
9. Describe your eating habits and diet.
10. How many hours per week do you work?
11. Do you have children and/or pets?
12. Describe your support system
13. Have you had any major traumas or accidents in your life?
14. How did you hear about this program?