SUP Yoga Teacher Training Application Form
Course You Would Like to Attend : *
How did you hear about our SUP Yoga Teacher Training? *
Your Details
First Name *
Last Name *
Gender *
Date of Birth *
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E-mail Address *
Confirm E-mail Address *
Mobile Phone (incl. country code) *
Home Street Address *
Home Street Address 2 *
City *
Postal Code *
Country *
Emergency Contact Name *
Emergency Contact Phone *
Facebook URL/Name
Instagram URL/Handle
Your Yoga & Stand Up Paddling Background
What is your current Yoga Certification? *
Required
Do you hold First Aid/CPR certificate? *
Do you currently own a SUP board or practice Stand Up Paddling? *
What is your Stand Up Paddling experience? *
Please list your yoga teaching experience (if any):
What is your SUP Yoga experience? *
Why did you decide to do SUP Yoga Teacher Training? What are you goals with this course? *
Do you have any health or medical conditions that may affect your ability to participate fully and safely in this program? *
Has any medical doctor or health professional advised against yoga, fitness, or other forms of exercises? *
Are you taking any medications? *
Do you use recreational drugs or alcohol? Please be honest. *
Do you suffer from motion sickness? *
Can you swim? *
Do you have any food allergies? *
Do you have any dietary restrictions? Please list. *
Anything else you would like us to know about you?
Trainee Course Terms Agreement
I understand that this course is not a retreat, it's a training, and it will be mentally and physically challenging. *
Required
I understand that as a health company, SUP Yoga & Fitness Malta teachers are not permitted to smoke or abuse drugs or alcohol. *
Required
I take full responsibility for my own health and well-being during the course and will not hold SUP Yoga & Fitness Malta or any of the teaching staff responsible for injuries or other medical problems that might occur. *
Required
I understand that registering and joining the course does not guarantee certification—certification is merit based only. *
Required
I understand that a positive, team-oriented, optimistic attitude is a requirement for all trainees. Disruptive, rude, or negative behaviour will not be tolerated and may result in removal from the course. *
Required
I have read and agree to the privacy policy & data use agreement here: http://rositajan.com/privacy/ *
Required
I provide my contact data to receive information and updates that might include marketing. I can edit, update or delete my data/contact info at any time here: http://www.rositajan.com/mydata *
Required
One last thing...
Send us your photo. Help us to put a face to your application. Alternatively you can email us the photo to info@supyogafitnessmalta.com *
Required
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