Jules Mitchell Yoga Certificate Request Form
Once submitted, your request will be reviewed and if approved, a certificate will be emailed to you within 30 days. Please note, certificate requests require complete information. Requests with partial or missing information cannot be issued.
Email address *
Full name exactly as you want it printed on the certificate *
Your answer
Select your attendance: *
If you selected "Workshop series" above, how many workshops did you attend? Note: this is a required question, select "N/A" if you attended a course and not a series of workshops. *
How many total hours were you in attendance? *
Your answer
Name of the course/workshops you attended *
Your answer
Was there homework? *
Date of completion *
MM
/
DD
/
YYYY
Name of host studio/location *
Your answer
City and State/Country *
Your answer
Is there anything else we need to know?
Your answer
Using your certificate to get Yoga Alliance CE hours?
Upload your certificate into the YA system and select the applicable educational subject. Once it has been submitted, we will approve it on our end and the process will be complete.
A copy of your responses will be emailed to the address you provided.
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