Sundara Yoga Therapy TIYT Application
Name (first & last name)
Mailing Address (street)
City, State and Zip Code (please don't skip the zip code)
Please choose the Training or Element you are applying for:
EARTH ELEMENT ONLY - if registering/paying for Elements separately OR seeking level 1 certification only.
WATER ELEMENT ONLY (must have completed EARTH) - please fill in city/dates in next section.
EARTH & WATER ELEMENT - if prerequisites are met and registering/paying for both.
If applying for Water Element only, when & where did you complete Earth Element? (city/dates)
Location (Earth and/or Water)
Tucson, AZ (WATER ONLY)
Tulsa, OK (WATER ONLY)
Austin, TX (WATER ONLY)
New London, CT
Williamsburg, VA (March 2020)
Denver, CO (June 2020)
Seattle, Washington (
Tell us about your experience/background and/or professional credentials
How many years have you been practicing Yoga?
How many years have you been teaching Yoga? Roughly how many hours have you taught? (if you are not a Yoga teacher put "N/A")
Are you a licensed Mental Health or Medical Professional?
I am a certified Yoga Teacher (Non-Yoga Alliance)
I am a registered Yoga Teacher (Yoga Alliance)
I am a certified Yoga Therapist (C-IAYT) through International Assoc. of Yoga Therapists
I am a licensed Mental Health professional (SW, PC, MFT, PsycD, etc)
I am a licensed Allied Health professional (L.Ac., PT, OT, LMT, etc.)
I am a licensed Medical professional (DO, DC, MD, RN, PA, LPN, etc)
Tell us a little bit about your goals and how this training may serve you - please be brief :-)
How did you hear about this training? Please be specific
Please read the note below and check off to confirm you understand. If you have any questions, please call us.
I have read the above statement and I understand it; I am confirming that I am far enough on my journey to participate as a student.
A copy of your responses will be emailed to the address you provided.
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