Amalam School of Yoga at OBXYoga - GENTLE YOGA TEACHER TRAINING APPLICATION
Teacher Training Application
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Confirm Email Address *
Your answer
Address 1 *
Your answer
Address 2
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Cell Phone *
Your answer
What is your current age? *
Your answer
What is your current profession? *
Your answer
Why do you want to participate in our Teacher Training program? *
Your answer
How long have you been studying yoga? *
Your answer
What styles of yoga have you practiced? Do you attend weekly classes on a regular basis? If so, how many per week and and what style? *
Your answer
Please list any yoga workshops, trainings, and immersions, as well as any other fitness oriented trainings you have participated in, or certifications received. *
Your answer
Have you studied any other healing modalities or done and spiritual or meditation retreats, self-improvement, artistic or personal growth work. *
Your answer
Are you planning to teach yoga? (It's ok if not, lots of people do Teacher Training just for the experience!) *
Your answer
Are you currently teaching yoga? If so, where do you teach and how long have you taught? How many classes do you currently teach per week? What style(s) of yoga do you teach? *
Your answer
How many days a week do you practice yoga at home? How long is each home practice on average? *
Your answer
Do you have a meditation and/or pranayama practice? If so, describe… *
Your answer
Do you have any injuries, physical limitations, or medical (including mental health) conditions? If yes, please list your injuries or conditions that you feel should be shared with facilitators of the YTT program in order to support your success. If yes, are you currently under care of a medical provider? *
Your answer
Do you see any of your conditions limiting your ability to fully participate in the YTT program? *
Your answer
What are some of your personal strengths and gifts that you believe will benefit your yoga teaching skills (and make your classes unique)? *
Your answer
What are some of your weakness that you wish to strengthen in relation to becoming a yoga teacher? Ex: more dedicated home practice, fear of public speaking, self-confidence, etc... *
Your answer
What does yoga mean to you? How has it affected your life? *
Your answer
Why do you wish to teach and share yoga with others? *
Your answer
What do you hope to learn from this program? *
Your answer
How will you meet the financial requirements? *
Your answer
How did you hear about our program? *
Your answer
Anything else you want to share? Questions, comments or concerns. *
Your answer
Prior to 4 weeks before the start of the training your tuition is fully refundable, less a $150 administrative fee. Prior to two weeks before the start date your tuition is 50% refundable, less a $150 administrative fee. Any time after that, your tuition is non-refundable but can be applied to future teacher trainings. Your graduation/certification is contingent upon completion of all course requirements, classroom work and payment of all fees. *
Required
RELEASE: To the best of my knowledge I am in good health and hereby assume the risk of any an all accidents or injuries of any kind that may be sustained by me, by reason of, or in connection with my use of the facility. I hereby release, discharge, and absolve Outer Banks Yoga & Retreats, L.L.C., their board of directors, management, employees, instructors, and agents of any and all liability or responsibility for such accident or injury. Additionally, I am aware of all fees associated with studio usage and the teacher training program as a whole. *
Required
I understand that my spot is not reserved until I submit a $500 deposit. This can be via cash, check or credit card at the studio or by submitting payment via PayPal to michelle@outerbanksyoga.com *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service