Application for 200 Hour Yoga Teacher Training Program

Application for 200 Hour Yoga Teacher Training Program

Please fill out the application form carefully
Are you ready to take your practice to a whole new level? Our Yoga Alliance Credentialed 200 Hr YTT Training will prepare you for the role of Yoga Instructor. Or perhaps you are more interested in deepening your personal practice.

Acceptance to this program will be contingent upon Energy with Judy LLC receiving this completed application and a $200 enrollment deposit. We also require a signed Liability Agreement and Enrollment Agreement. Both agreements and the $200 enrollment deposit will be due after the application has been reviewed and approved by Energy with Judy LLC.
Personal Information
Full Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Occupation
Emergency Contact Information
Name, Relationship and Contact Phone Number
List All Injuries, Past and Present
All information will be kept confidential
Describe Your Family.....Married, Children?
How Did You Hear About this Program?
Your Practice
How Long Have You Been Taking Yoga Classes or Practicing?

Less Than 1 Year1 to 3 Years4 to 6 YearsGreater Than 6 years
Why Do You Want To Take This Teacher Training Program?
Do You Plan On Teaching Yoga After This Program Ends?
Do You Have A Home Practice?
Should be Empty: