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RYT 300 Application
for the Lotus Pond Center for Yoga & Health
Email *
Name *
Address *
Phone number *
Date of Birth *
Emergency Contact *
Yoga Alliance RYT 200? *
Registration No.
Where did you study? *
When did you graduate? *
Are you currently teaching yoga? If so, where? *
How long have you been teaching? *
What tradition/style? *
How long have you been practicing? *
Do you currently have a daily/personal practice? *
Are you interested in the 2 year track (choose the workshops that support your path) or the Accelerated 4-6 month track where you graduate at the Mountain Retreat in Boone, NC *
Are you under medical treatment for any physical or psychological condition? *
Have you ever been hospitalized for a psychiatric condition? *
Do you have any chronic physical limitations or disabilities? *
Have you had a serious illness or major surgery within the last 5 years? *
Questions / Comments
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