Form
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Date of Birth
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Month
-
Day
Year
Date
Do you hold a 200-hour yoga teacher certification? (Yes/No)If Yes, upload your certificate.
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Years of Yoga Practice
Preferred Yoga Style(s)
What is your motivation for completing a 500-hour training?
Are you currently teaching yoga? (Yes/No)If Yes, where and how long?
Select your payment option
Please Select
In-house financing (payment plan directly with Yoga Hippie Academy)
Afterpay
PayPal Credit
Paid in full (5% discount available)
FASFA
Are you applying for FAFSA (Free Application for Federal Student Aid)? (Yes/No)If Yes, list any previous FAFSA experience or details.
Yes
No
Are you eligible for any of the following discounts?
Please Select
Early bird registration (10% off if paid by [insert date])
Full payment discount (5% off)
Emergency Contact (Name, Address, Phone #)
Documents UploadGovernment-issued ID (for identity verification)Proof of Income (for financing options or FAFSA application assistance)Yoga Teacher Training Certificate (200-hour certification)
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I agree to Yoga Hippie Academy’s terms, conditions, and non-refundable policy for training fees.
Agree
Signature
Today's Date
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Month
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Day
Year
Date
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