100HR Yin Yoga Teacher Training Application

Name*

PrefixFirst NameLast Name
Preferred spelling for your certification*
Date of Birth*

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Date
Nationality*
Passport Country*
Passport Number*
Phone Number*

Area CodePhone Number
E-mail Address*
example@example.com
Please Add Photo of Yourself*

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Facebook or Instagram Alias*
Occupation*
Native Language*
Emergency Contact Details
Name*

PrefixFirst NameLast Name
Phone Number*

Area CodePhone Number
Relationship to this person*
How do you heard about this training? Please tick below:*

The Yoga Barn poster or postcardThe Yoga Barn websiteThe Yoga Barn newsletterYoga Barn class with TinaYoga Barn workshop with TinaBalispirit.com websiteBalispirit.com newsletterHELD websiteHELD newsletterSchool of Sacred Arts (SOSA)Yoga JournalFacebookInstagramReferralOther
If Referral, by whom?
Medical Information
Are you currently taking any medication? If so, please indicate below with a description of the associated condition :*
Are you currently in the care of a medical or natural health care practitioner?If yes, please describe:*
Please list previous injuries or surgeries & medical history:*
Do you have any current medical or physical condition that may affect your participation in this teacher training? If so, please indicate the condition thoroughly below:*
Please list any previous mental health history, including treatment/medication for conditions such as depression, anxiety, panic attacks etc :*
Do you have any current mental or emotional challenges that could possibly be an issue during the course? ( It is important that we are fully informed of such challenges prior to the training.) Please be thorough & list in detail :*
Yoga Experience
How long have you been practicing yoga and how often do you practice? What yoga styles or lineages have you explored? *
What style/s of yoga do you currently practice? (Share a few details about your current practice: consistency, duration, motivation, benefits etc.)*
Have you practiced yin yoga before? If yes, for how long and with whom?*
Do you have a regular meditation practice? If yes, for how long and how frequent?*
From your perspective, what is Yoga & how does/can it benefit you & others?*
Via your direct experience, how does yoga serve your physical, emotional & mental health? And how does yoga asana translate as a spiritual practice? *
What are your primary motivations for attending this teacher training? What would you like to achieve from the training?*
This training is an immersion into ideas and concepts that require thought and reflection. Students who do not have a consistent asana and meditation practice should commit to a regular practice from now leading to the training. If at all possible, students should attempt to attend as many yoga & meditation classes as possible in their community before the commencement of the training, & read all pre requisite reading material (outlined in welcome letter upon registration)
- The 100hr Yin Yoga Teacher Training is designed for yoga teachers with a 200hr RYT certification.
- Non certified Yogi’s may participate in the 100hr training if they have a minimum of 2 years yoga & meditation experience.
Yoga Teaching Experience
Are you a certified Yoga Teacher? If so at what level of accreditation? ( Please list the schools you have trained with, including dates of education )*
Please list any additional previous yoga/meditation trainings/workshops/retreats experiences below:*
Are you currently teaching yoga &/or meditation? ( If yes, share some details about your teaching practice i.e. style, student demographics, open classes, private tuition, retreats etc.) *
How long have you been teaching yoga?*
What do you think makes a good yoga teacher?*
What do you think makes a good yoga student?*
Please express why you are interested in Yin Yoga specifically?*
References:

Please provide a copy of your previous teacher training certificate/s.

or

Please provide a reference from one of your own, qualified yoga teachers.

Please ask them to write a statement describing your yoga practice, your strengths, dedication to yoga and their perspective regarding your readiness to enrol in a Yoga Teacher Training. ( Your reference must provide us with their full name and address, the name and address of the yoga studio (or other venue) where they currently teach, and a professional website that includes a bio and teaching background if possible.)

If you are not able to provide a reference, please let us know and we will discuss an alternative.

Please have them email their reference directly to us at: iam@tinanance.com

Once your application is complete, please send it to us for consideration.
Please attach your 200hr certificate or reference letter*

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REGISTRATION
- $500.00 USD non-refundable desposit paid upon registration.
- Final payment is due upon acceptance to the training.
- Rates are listed in USD.
- Rates include tuition and programme manual.
- Rates do not include flight, accommodation, visa, meals and transportation in Ubud, Bali.
INVESTMENT:
- Standard Price : $2075 USD
- Early Bird Price : $1975 USD
- $1,875 U.S.D. each per module for 3x HELD 100hr modules for HELD 300hr Advanced Yoga Teacher Programme.
DEPOSIT:
- $500 U.S.D. non-refundable deposit payable upon registration
- Balance Payment Due – Upon acceptance to the training.
REFUND POLICY:
- The deposit is non-refundable and non-transferable.
- The deposit will only be refunded if the application is not accepted to the program.
- Tuition less deposit will be refunded in full 3 months ++ out from training commencement.
  50% tuition (less deposit) will be refunded 6 weeks - 3 months out from the training.
- No refunds will be made within 6 weeks of the training
- Refund given ONLY in the unlikely event the training is canceled by HELD prior to programme commencement.
HEALTH & SAFETY POLICY:
- If the government restricts or shuts down group events in Bali - the training will be postponed to a later date once restrictions are lifted.
- If you cannot attend this date you have the option to transfer your payment to another future HELD training in person or online. You also have the option to transfer your spot to a friend.
- In the case you make your own decision and choose not to go forward with your travels, then the same policy and options as above will be applied.
Commitment:

In submitting this application form,
- You understand that the training can be taken as a self paced immersion.
- If desiring certification all training hours must be attended, and you agree to commit to 100% class attendance during the training, without exception.
- You agree to be 100% punctual & arrive to class 5-10mins before each lecture/practice, to arrive, settle & ground before each class begins.
- You agree to conduct yourself in a respectful manner towards your teachers, your fellow classmates and the studio staff.
- In the case of an emergency or significant illness, assignments will be set for hours missed to complete certification requirements
- You must speak, read & write English fluently
- You agree to abide by the payment policy : $500 non-refundable deposit paid upon initial registration, closing date for full payment is 1 month prior to commencement of training.
- You have read and understood that you are attending this course as an intensive immersion, & as such, you will devote your time and energies to give full priority to this training, practicing self-responsibility, ownership of your emotions, thoughts, and actions, consistent engagement in self-study and self-awareness, and open contribution to the overall group experience.
- You understand that you are required to fulfill the above obligations, to the satisfaction of the director and staff, in order to remain on the course, and that tuition payment alone does not guarantee certification from HELD. Punctuality, full participation, completing assessments & acting in a respectful manner of integral conduct will insure certification & successful completion of the training.
I understand that:*

$500 Deposit is non-refundable and non-transferable.Final Payments are due upon acceptance to the training.Refund given ONLY if event is canceled by HELD.
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I declare that all of the information provided above is correct and legally bindin
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REGISTRATION

INVESTMENT:

DEPOSIT:

REFUND POLICY:

HEALTH & SAFETY POLICY:

Commitment: