200 Hour Application Form

Name

First Name

Last Name

Email Address

Phone Number

(###)

###

####

Current Occupation

How did you hear about the program?

Who referred you?

First Name

Last Name

How long have you been practicing yoga?

Which styles of yoga have you been exposed to?

Why did you initially start practicing yoga?

What benefits have you gained from practicing yoga?

Injuries, conditions, mental/ emotional/ physical restrictions that may affect your participation in the training:

Poses or types of poses you enjoy:

Poses of types of poses that challenge you:

What do you hope to gain from training?

By checking this box you agree to pay the non-refundable deposit upon acceptance into the program: