Language of Touch: 10 Hour CEU

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 groundedbyyoga@gmail.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

Name of 200 Hour Yoga School* This field is required.Certificate of Completion may be required

10

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

11

Welcome! What is your current experience with assists? "None" is a perfect answer, its ok!

12

How do you plan to utilize your Training and where to do you teach??* This field is required.

13

Please choose 6 poses you would love to learn how to assist! My plan is to create the pose portion according to what is most popular among the group - then if there is room for more - I will be sure to do my best to include more for your requests. We will have plenty of poses we will be practicing!

14

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

15

Do you require CEU certificate?* This field is required.$25 CEU fee

Yes

No

Other

16

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

Yes

No

17

This is a school, there will be a take home quiz in which you can use your notes! You will have 5 days to complete and submit via email. If the deadline is not met, you will not be able to receive a passing completion certificate. I promise it's painless - it just lets me know you have taken notes from our lecture.* This field is required.

Yes, I am ok with this!

No, I would like to discuss

18

Please bring a notebook and pen for notes. Mid-day food break will be 30 minutes. GBY supports ahimsa and the yogic diet. (we have a microwave, refrigerator, tea/coffee maker - tea and coffee provided). You will receive a welcome email prior to program date and will require a "confirm receipt" when received. It may indicate a few additional announcements. Please be sure you have access to emails.* This field is required.

Yes, I am ok with this!

No, I would like to discuss

19

Is there anything else you would like to share? Any learning disabilities I should know about? (it's ok! It will just allow me to prepare for your best experience).* This field is required.

Yes, can you call me so we can discuss

No

20

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 5 days after application is received. 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 $90 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. NOTE: For CEU programs or less than 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 and /or participation 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.

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

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!)

21

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

22

My Products* This field is required.Please be sure to also add the proper CEU Certificate to your cart if needed.

My Bag

1

The Language of Touch Assists / App Fee
Tuition and App Fee (if you need CEUs - please hit the arrow to purchase and add to your cart)
Edit
Back
Yoga Alliance 8 CEU Completion Certificate
Please purchase if requiring a CEU certificate for Yoga Alliance.
Edit
Back