Yoga Teacher Training Application
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Name
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Street Address
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Address Line 2
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City
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State
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ZIP Code
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Phone Number
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Email
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Birthday
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Emergency Contact Name
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Emergency Contact Phone
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Yoga Experience
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Please tell us about your yoga practice experience, including past and current practice, styles, teachers, how long you have been studying/practicing, and your home practice details.
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Expectations
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Please tell us why you are interested in our program and what you hope to get out of it.
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Health History
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Please provide your relevant current and relevant past physical, mental, and emotional health history, including current medications.
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Tell us a little more about yourself
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Please take this opportunity to tell us more about yourself – interests and anything else you would like us to know.
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