| CONTACT INFORMATION |
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| Student Name: |
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| Street Address: |
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| City/State: |
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| Zip Code: |
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| Home Phone: |
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| Cell Phone: |
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| Email: |
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| Occupation: |
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| Emergency Contact: |
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| Relationship and Phone: |
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| YOGA HISTORY |
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| How long have you been practicing yoga? |
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| What style of yoga do you practice? |
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Where have you studied yoga before now? (Teacher Training, Workshops, Intensives, Other)
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| Are you currently teaching yoga? |
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| How long? |
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| What style do you teach? |
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| How frequently? |
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| PERSONAL INFORMATION |
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What are your objectives from this Teacher Training?
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Do you have any health related conditions or past injuries we should be aware of?
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Do you have any special dietary requirements? If yes, please list:
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| How did you learn about this program? |
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| Are you seeking temporary housing? |
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| PLEASE CLICK THE TEACHER PROGRAM THAT YOU ARE REGISTERING FOR: |
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| Extended Level 1 January 17, 2009 - March 29, 2009 |
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| Module 1 January 17, 2009 - February 8, 2009 |
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| Module 2 February 14, 2009 - March 8, 2009 |
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| Module 3 March 19, 2009 - March 29, 2009 |
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| Intensive Level 1 April 6, 2009 - May 5, 2009 |
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| Module 1 April 6, 2009 - April 16, 2009 |
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| Module 2 April 16, 2009 - April 29, 2009 |
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| Module 3 April 29, 2009, - May 5, 2009 |
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| Extended Level 1 Dates to be announced soon |
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| Module 1 |
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| Module 2 |
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| Module 3 |
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The submission of this registration does not guarantee enrollment in the teacher training program. Due to the structure and intensity of our teacher training programs, enrollment is limited.
To reserve your enrollment in the program, a non-refundable, transferable deposit of $300 per module or $500 for the full program is required. In the event you need to transfer your deposit to training, we require one week notification prior to commencement of the training. You can make your deposit either via, calling in your credit card information, submitting payment at our studio or by mailing your check. Please send the appropriate deposit amount stated above when submitting your registration. Balance of tuition must be paid one week prior to class commencement.
Submission of your registration indicates that you have read, understand and agree to all of the requirements, including being teachable and fully committed throughout the training. You will receive confirmation from Yoga South within one week upon receiving your registration.
Tuition includes all stated course materials and yoga classes.
We reserve the right to cancel or reschedule any program at any time. |
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| I have read and understand the above terms and requirements. |
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PAYMENT METHOD |
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Payment Method: |
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Amount: |
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Name: |
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Today's Date: |
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