Request edit access
200 Hour Yoga Teacher Training Application
Please fill out this form in order to apply for this training held at Zenergie (Abdoun, Jordan) and led by Yogi Kaivalyananda. We will get back to you as soon as possible with the outcome of your application.
Full name *
Your answer
Email *
Your answer
Whatsapp (enter phone number if you don't have a whatsapp number) *
Your answer
How did you find out about this training? *
Your answer
How many years of yoga experience do you have? *
Your answer
Which styles of yoga have you principally practised? *
Your answer
Which level of yoga do you consider yourself to have attained? *
How many hours, on average, do you practise yoga in a week? *
Your answer
Do you have a daily meditation practice? *
Why would you like to participate in this training? *
Do you have any injuries or medical issues the teacher should know about? *
Your answer
Are you under any psychological treatment? Do you take any medications? *
Your answer
Do you have any allergies? *
Your answer
Please read through the Code of Conduct and tick the box to give your agreement to it. (1) All students are expected to follow the entire yoga teacher training course schedule. (2) In the event you need to be absent from any event, prior permission should be obtained. (3) All students are expected to be on time for all scheduled classes and remain for the duration of each class. (4) Smoking, alcohol and drugs are not permitted. (5) Photography, video, or audio recording during classes is only permitted with prior permission. (6) Synthetic perfumes or deodorants should not be worn during the course. (7) Students should maintain good hygiene, arriving for each day clean. (8) If any student decides to leave the course early for whatever reason, no compensation will be given. (9) Any student not observing the code of conduct may be required to leave the course and no reimbursement would be given. (10) In order to qualify to receive the course completion certificate, you must attend all hours of the course and successfully pass the course assignments and exams. *
Please read through the Agreement of Release and Waiver of Liability carefully and check the box to acknowledge your consent to this Agreement of Release and Waiver of Liability relating to the 200 hour Hatha Yoga Teacher Training programme run by Yogi Kaivalyananda (legal name: Cameron MacInnes) at Zenergie. (1) Any type of yoga requires physical exertion that may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. (2) It is my responsibility to consult with a physician prior to and regarding my participation in any yoga class/workshop/retreat/training. I represent and warrant that I am physically fit and have no psychological, medical or emotional condition that would prevent me from safe participation in this retreat. (3) Yogi Kaivalyananda may provide physical adjustments during yoga. It is my responsibility to inform Yogi Kaivalyananda at the beginning of class if I do not want such physical adjustments. It is also my responsibility to inform Yogi Kaivalyananda when an adjustment has gone as far as I desire at that time. (4) I release and discharge Yogi Kaivalyananda and Zenergie from any and all liability, claim, demand or action that I may have resulting from injury, death or damages arising from my participation in this yoga training, including loss that may be caused by the negligence of the released party. (5) I release and discharge Yogi Kaivalyananda and Zenergie from any and all liability, claim, demand or action that I may have related to the loss, theft or damage of any of my personal property whilst on the retreat or whilst travelling to and from the training. (6) Photographs and video may be taken by Yogi Kaivalyananda or a member of staff during the training and I consent to have my face appear on any photographs or videos on social media and future marketing for events run by Yogi Kaivalyananda or Zenergie. (7) Due to teacher cancellations, illness of the teacher or any other situations outside of Yogi Kaivalyananda’s control, Yogi Kaivalyananda reserves the right to make any changes to the programme and teachers. Alternative arrangements may be offered but Yogi Kaivalyananda and Zenergie do not accept responsibility for any costs incurred, including airfare and travel plans. (8) I recognize that this agreement of release and waiver of liability is a legal contract and that, by reading it carefully, I have complete knowledge of its contents. *
Click below to acknowledge the following Payment Terms and Conditions. As soon as your application has been formally accepted by email, you will be required to pay a 950 JD (1200 euros) deposit to secure your place. This deposit is not refundable under any circumstances. If you would like to avail the early bird discount opportunity, full payment of 1975 JD (2500 euros) must be received before 29 February 2020 (removing the deposit from the amount due if it had already been paid). After 29 February, the payment amount rises to 2200 JD (2775 euros) which must be paid before the start of the course (removing the deposit from the amount due if it had already been paid). If full payment is not received before the start of the course, your participation may be cancelled with no refund of the deposit. Once the course has begun, cancellation is not possible nor is refund of any monies. If you cancel less than 4 weeks prior to the start of the course, no refund of any monies is given. If you cancel more than 4 weeks before the start of the course you will receive a refund of half of the monies paid (if you paid either the early bird amount or the full amount) less the deposit and less an admin fee of 50 euros. If you cancel more than 4 weeks in advance of the course having already paid the deposit, the deposit is non-refundable. The minimum required number of students for this course to go ahead is five. If this minimum number is not met, the course may be cancelled and your deposit or any additional amounts paid would be refunded. *
Please select your preferred option *
Please select your preferred payment method *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy