65 Hr Women's Yoga & Leadership Teacher Training Registration Form
Dates: 24th October - 2nd November 2020
Venue: Ibiza, Spain
Contact us at atira@atiratan.com. www.atiratan.com

All answers are strictly confidential and will not be shared with anyone else.
Thank you for sharing and taking the time to let us know a bit more about you.
Email address *
First/ Last Name *
Your answer
Phone Number *
Your answer
Address
Your answer
Country
Your answer
Date of Birth *
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/
DD
/
YYYY
Gender *
Emergency Contact Name & Phone.
Your answer
Skype Username
Your answer
Facebook Profile
This is optional but a good way for us to share group information so highly recommended
Your answer
What style(s) of Yoga do you practice regularly?
Your answer
Are you a yoga teacher?
If you're an active yoga teacher, what classes do you teach and what kind of community do you serve?
How long is your daily practice (in hours)?
Your answer
If you meditate, how long have you been meditating, and how often do you meditate?
Your answer
Approximately what year did you start to practice and/or teach Yoga?
Your answer
Please provide the names of your principal teachers or schools.
Your answer
Do you suffer from any medical condition? Are you taking any medications?
Your answer
If you are under medical treatment or supervision, please tell us about it as thoroughly as you can.
Your answer
If you have any chronic physical impairment (e.g., vision, hearing, movement, etc.), what is the nature and extent of your health challenges?
Your answer
If you have had a recent history of fatigue, emotional collapse, or major trauma please tell us about your experience and where you are in your recovery.
Your answer
If you are using any prescription medication, please indicate type, dosage, and frequency of intake.
Your answer
Are you currently experiencing any injuries?
List all that you think are relevant including chronic and acute.
Your answer
Is this your first time to Ibiza?
How did you hear about this Yoga Teacher Training?
What is your main interest in taking this Women's Yoga & Leadership Training?
Your answer
Dietary restrictions *
Are you applying for a shared or single accommodation? *
I have read and understood our Yoga Teacher Training terms and conditions, and will be fully responsible for you are responsible for your own health and wellbeing during the yoga teacher training. Swara Yoga School will not be held liable for any injuries or other medical or mental health problems that may occur, are sustained or aggravated during or after your time on this training. I understand and our cancellation and refund policies which can be found on our website. *
Required
By applying to this training program you agree to comply with these terms. Your signature below acknowledges your agreement with this policy. *
Your answer
Thank you so much for filling out this registration form! We look forward to journeying with you.
With Love, Atira & Sofia
A copy of your responses will be emailed to the address you provided.
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