Atma Yoga Teacher Training Sign Up Form
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Briefly describe your educational and occupational background
Yoga Background Information
How Long have you been Practicing Yoga?
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I’m new to Yoga
1-2 years?
3 years or more
Please describe your current yoga practice
What other types of yoga or classes have you participated in?
Describe your meditation or other spiritual practices
Why are you interested on becoming a yoga teacher?
How did you find out about Atma yoga teacher training?
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Health Information
Are you in medical treatment for any physical or psychological condition?
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Do you have any long term medical conditions?
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No
Have you had serious illness or surgery in the last 5 years?
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No
Do you have any chronic physical limitations or disabilities?
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No
Describe in detail any of the above questions where you answered Yes.
Please list any prescription medication you are taking
Please select the 12 day intensive you intend to take.
*
January 2013
April 2013
June 2013
September 2013
Please read through our Refund Policy carefully before making your payment.
We do not provide refunds. If you cannot attend your elected intensive, your money will be held in credit so you can take one at a later date.
Video Release Requirement:
An important part of our teacher training process is digitally video recording the training process. This has many benefits for you. The very act of being digitally recorded and sharing on camera creates a layer of awareness and influence the improves the development of presentations skills. (This effect occurs even if you don't see playback of the recorded footage.) The format of recording is similar to that of a reality TV show. This includes opportunity to share your perspective as the process proceeds. It is important that you feel comfortable in front of the camera. You should also know that at any time you can ask the camera operator to turn off the camera for a moment of privacy. Most of the footage that is recorded will never see the light of day. Some of it will be used for training purposes. Highlights may appear on the website as way to share and communicate about the teacher training program. We will always take precaution to use footage the shows participants in a positive light. To appease the insurance gods you will be asked to sign a release. Your support and understanding is greatly appreciated. If you have a questions about this please let us know ahead of time.
Agreement:
I agree to abide by the Atma yoga teacher training guideline for the duration of the 12 day intensive. These guidelines include following a vegetarian diet, refraining from the use of alcohol, tobacco or other intoxicants and sexual activity. I accept that if I don’t comply, I may be asked to leave the program without any refund. I certify that I am in good health and have no physical or mental ailments, except as may be indicated on this application. I further agree to accept full responsibility for any injuries or damages that may occur to myself or my property during the 12 day intensive and by signing this, I hereby release from any responsibility and to indemnify and hold harmless Atma yoga and any of it’s employees or agents representing or related to the school as regards to the teacher training intensive. This release is for any and all liability for personal injuries and property losses or damage occasioned by, or in connection with any activity or accommodations for this event.
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