Yoga School Application

Yoga School Application

blue mountain Yoga School
Personal Information
Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Birthday

Month Day Year
Date
Text Phone
Please enter a valid phone number.
Email
example@example.com
Are you interested in partial scholarship?

Yes No
How did you hear about our training program?
Yoga Experience
Are you currently practicing yoga?

Yes No
If so, how often?
Include home practice
Under whose guidance do you practice?
Are you currently teaching yoga? Describe your clientele.
Are you teaching any other type of group fitness? Please describe
Do you have any other yoga training classes or certifications? Please list:
Please describe why you are interested in our yoga school.
All our training is great for those looking to deepen their practice
Health Information
Do you have any medical conditions that may affect your FULL participation in this class? If yes please explain.
We do all we can to accommodate our participants within the constraints of the syllabus.
Emergency contact information
Name

First Name Last Name
Relationship
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
I hereby declare that the information in this application is true and complete. I understand that providing false information may be grounds for expulsion from the program or revocation of the certification. I understand that I must attend the program and complete all immersive hours and practice hours. I unserstand that the program is 200 hours in length and that I must complete all hours to gain certification.

I understand that in order for my application to be complete, and my place in class to be secured I will need to submit the NON REFUNDABLE application fee. The application fee is $150 if paid before 7-1-22, and $200 there after.
I agree to the above

Yes No
Today's Date

Month Day Year
Date
Signature

Clear
Should be Empty:

Yoga School Application

Personal Information

Yoga Experience

Health Information

Emergency contact information