Restorative / Yin Yoga Training Application

1

Todays Date:* This field is required.

Date

2

This application form will require payment from you at the end. If you desire to pay via cash or check instead, please contact us at hello@groundedbyyoga.com or 585-861-9642 and we can send a printable application.

3

Full Legal Name:* This field is required.

4

Full Legal Address:* This field is required.

please include full address, street, town, state, zip code

5

Preferred Phone Number:* This field is required.

6

Date of Birth* This field is required.

7

Email* This field is required.

Email is required for this program

8

Profession/Name of Employer:* This field is required.Please write retired or none if applies

Write Retired or None if Applies

9

Any Current Yoga Related Certifications?* This field is required.

10

How did you hear about our program (Past Alumni, Google, Yoga Alliance, Social Media, Other)* This field is required.

11

1. For RESTORATIVE YOGA TRAINING ONLY: Where and with whom have you taken a Restorative Yoga session with a Certified Restorative Yoga Teacher? This is required before training date. Must be a full 2 hour or more program. We HIGHLY recommend coming to a Restorative Yoga program offered 1-2 times per month at GBY in Bloomfield

12

1. For YIN YOGA TRAINING ONLY: Where and with whom have you taken a Yin Yoga sessions with a Certified Yin Yoga Teacher? This is required before training date.

13

2. How do you plan to utilize your Training?* This field is required.

14

3. Briefly, where is your life's dharma right now, what are you currently working on, if anything, (ex: grief, stress, feeling stuck, etc)* This field is required.

15

4.For non-yoga teachers: Do you have a meditation practice?* This field is required.

Yes

No

16

5. You are aware that Restorative Yoga requires many various professional yoga props and will be needed for your practicum assignments? (However, you may use the studio's props for our in house training). If you do not already have professional props, please be sure you are ready to invest. For YIN YOGA training you will be doing your Practicum IN HOUSE at our studio and can use our props* This field is required.Towels, furniture, bed pillows "makeshift props" etc are NOT allowed. We will discuss the reasons in our time together.

Yes, I understand for Restorative Yoga, I will need professional props

No

I understand that Yin Yoga's Practicum will be at GBY studio and can use GBY's props.

17

6. Briefly summarize why you chose Grounded by Yoga?* This field is required.

18

6. Do you hold a RYT* This field is required.

19

Do you require CEU certificate for Yoga Alliance?* This field is required.

Yes

No

20

Our school is traditional and also is open to addiction recovery students, therefore we are a no cell phone facility - are you ok with that?* This field is required.

Yes

No

21

This is a school, there will be homework that has due dates. There is a minimal amount of homework, very do-able. If the dates aren't met, you may be asked to withdraw and re-enroll. Are you ok with that?* This field is required.

Yes

No

22

TERMS OF AGREEMENT/REFUND POLICY for any Teacher Training Enrollment or CEU’s at Grounded by Yoga Studios & Yoga Teacher Training Center LLC (GBY)

Additional Terms of Agreement for Payment Plans are listed on Payment Plan Agreement.

Refund Policy/ Completion Terms

By submitting an application and deposit, you acknowledge and agree to this information regarding tuition, refunds, attendance and graduate requirements for Grounded by Yoga Studios & Yoga Teacher Training LLC (GBY)

This policy is in alignment with New York State policies for refunds.

Refund Policy and Miscellaneous:

· Refunds will not be granted 30 days after application is received or 45 days before the official start of our session, whichever comes first. Student is liable for complete tuition payment. GBY is not responsible for acts of God, pandemics or natural disasters, and etc. Should GBY’s program become interrupted, GBY promises to continue the program once it can be resumed.

· There is a $175 admin fee for all timely refunds.

· GBY has the right to cancel this training or reschedule weekends should there be a studio emergency (ex: no heat, fire etc) or weather-related concerns whereas other businesses are generally closed or if there are not enough enrollees.(note: this has yet to happen)

Completion Requirements

· 100% of attendance is required by the Yoga Alliance and GBY. NOTE: For CEU programs or less tahn 200 hour programs. there are no makeup sessions. You will have to forfeit and enroll in a future program.

· Poor attitude and/or lack of efforts can result in expelling of student. Tuition will still be your obligation. GBY Director will first speak to you to see where improvement can be made.

. Minimal homework is required. Missed completion dates will result in student needing to withdraw.

· Tardiness is not allowed. but we understand winter weather and unexpected delays due to weather.

· An average of 80% or higher is required for graduation and will be based on a final quiz, your efforts, participation and attendance. You can do it! We are here to see that you do. GBY has never “failed” anyone. Personal attention is well delivered in this program.

. Should student need a non-teaching completion, student shall depart prior to shares, practices and miscellaneous. This provides a safe and adequate platform for full time yogis to grow. Please advise asap if this is your intention as the program is created accordingly.

IMPORTANT: PLEASE PRINT FOR YOUR RECORDS IF YOU ARE USING THE ONLINE SUBMISSION PROGRAM. THE ONLINE SUBMISSION PROGRAM WILL ALSO MANDATE THAT YOU TO INITIAL STATING YOU HAVE REVIEWED AND ACCEPTED THESE TERMS. Your review of your application will begin once this form is received. (Due to the fact we host a very small group – our refund policy is strictly enforced. Please be sure you are ready to take this journey!)

23

Your signature indicates you are aware of the completion requirements and refund policy.* This field is required.

Clear

24

My ProductsPlease be sure to also add the proper CEU Certificate to your cart if needed.

My Bag

0

Restorative Training Program Level 1Payment of $675 includes: $75 Application Fee, Purchase indicates you agree to refund and completion policy.
$750.00+Edit
Back
Yoga Alliance 25 CEU Certificate for Restorative YogaPlease purchase if requiring a certificate for Yoga Alliance.
$45.00+Edit
Back
Yoga Alliance 50 CEU Certificate for Yin YogaPlease purchase if requiring a certificate for Yoga Alliance.
$50.00+Edit
Back
Yin Yoga Regular PricePayment of $795 includes $95 Application Fee. Purchase indicates you agree to refund and completion policy.
$795.00+Edit
Back

Save your progress

Save your progress

Your form submission has been saved as a draft.

Save your progress

Your form submission has been saved as a draft.