Reflections Yoga Teacher Training Application
Email address *
Training Applying For *
Today's date *
(the date you are completing this application)
Name *
(First Name Middle Initial Last Name)
Mailing Address *
Home Phone *
Cell Phone *
E-mail Address *
Date of Birth *
Gender *
Languages Fluent in
High School *
List name of school, years attended, degree received
List name of school, years attended, degree received
Graduate School
List name of school, years attended, degree received
Graduate School
List name of school, years attended, degree received
200 Hour Yoga Certification *
(required only for full 300 Hour certification)
Other Certifications and Trainings
List any other relevant certifications you have or trainings you've taken
Current Occupation *
If you are a yoga teacher, add where you teach, what style of yoga you teach, where you were certified, how often you teach, and the average number of students you teach per week
How long have you been practicing yoga? *
How often, on average, do you practice yoga? *
Do you meditate? *
If yes, how often and for how long?
Do you practice any other type of healing profession? *
If yes, which?
Do you have any physical injuries or medical conditions that may affect your participation in the training? *
If yes, please list any physical challenges that may limit your ability to participate.
Are you currently teaching Yoga and what is the demographic of students you teach (kids, seniors, beginners, advanced, etc...)? *
What do you hope to learn from this training? *
Which topics of study are you particularly interested in? *
What do you think makes a good Yoga teacher? *
Please make sure to complete the following with your application

1) Deposit required: half of cost of the training you are signing up for. This deposit ensures you a place in the training upon being accepted.*
2) One recent Photo

Payments are made through MindBody -

Email application (forward confirmation), documents, and photos to:

A full application should be received no later than 1 month prior to training.

If you have any questions about this application, please contact: Reflections Yoga at 212-974-2288 or email
A copy of your responses will be emailed to the address you provided.
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