First & Last Name *

Preferred first name (if different than legal name)

Phone Number *

Birthdate *

Email Address *

Address *

Your shirt or tank size *

Do you currently practice yoga? Where? How long? *

Education *

Current Occupation *

What are your expectations of this training? What excites you the most about this training? *

What is your intention for taking this training? *

Please list any previous yoga workshops, teacher trainings, or retreats you have attended. *

Would you like to become a yoga teacher? If yes, please explain why. *

Please list any non-yoga personal growth, transformational based courses, workshops, or retreats you have completed. *

Please list any medications you are currently taking or have taken in the last year, that have been prescribed to you by a medical doctor. *

During the last two years, have you been under the care of a physician, or mental health professional? (psychiatrist, therapist, or other health care professional) If yes, please explain. *

I acknowledge that I have answered the above questions honestly and completely. I understand that I may be contacted for a phone interview for clarity, concerning this application. I understand that by filling out this application, I am not guaranteed acceptance into Small World Yoga’s Teacher Training. *

I understand that once I am accepted into this teacher training, 100% attendance is required. I understand that if I miss any training sessions, I will contact the directors of teacher training immediately to schedule make-up sessions. I understand that if I miss any training sessions without contacting the directors, I will not receive a refund or certification. I have read and understand the Small World Yoga Teacher Training attendance policy. *

I have reviewed the dates and commit to attending all of the training weekends. *

I understand at the time of acceptance a $300 non-refundable deposit is due. Your tuition includes unlimited yoga at Small World Yoga during the training. Tuition does not include any required reading materials. Full Tuition is due by January 22, 2020. *

Would you like to talk with someone about setting up a payment plan?