Teacher Training Application

YOGA JOURNEY

TEACHER TRAINING APPLICATION
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Birthday
Emergency Contact

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
Which Course are you interested in?

200 Vinyasa200 Yin300 Advanced
Who referred you to this Training?
How long have you been practicing yoga?
Experience:
How many times per week do you practice?
Which styles have you practiced?
What is the current focus of your daily practice, any current obstacles?
What styles have you studied?
Is Pranayama or Meditation incorporated into your practice?
Who has been your primary teacher and how long have you practiced with them?
Why do you want to take this course?
Are you interested in teaching after graduation?
Are you already teaching, if so where?
Do you have any other certifications/licenses or group exercise experience?
Health History:
Are there any health concerns (chronic injury, blood pressure etc.) that affect your practice?
Any additional information you would like to share?
This is a fill in the blanks field. Please add appropriate blank fields and text.
Should be Empty:

YOGA JOURNEY