SUP Yoga Course Application Form
Please, fill the following application form. We will contact you in the next 48 hours after receiving it.
What course would you like to attend?
Clear selection
What dates would you like to attend? *
Where did you hear about us? *
If someone recommended you this course, please mention her/his name here:
~ YOUR DETAILS ~
First Name *
Last Name *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Your e-mail address *
Confirm your e-mail address *
Phone number (incl. country code) *
Home street Address *
City *
Postal Code *
Country *
Emergency contact name *
Emergency contact phone *
Facebook URL / Name
Instagram URL / Name
~ YOUR YOGA & STAND UP PADDLING BACKGROUND ~
What is your current Yoga Certification? (if any) *
Required
Please list your teaching experience (if any):
Can you swim? *
Do you hold a First Aid / CPR certificate? *
Do you currently own a SUP board or practice Stand Up Paddling? *
What is your Stand Up Paddling experience? *
What is your SUP Yoga experience? *
Why did you decide to sing up? What are you goals with this course? *
~ YOUR HEALTH STATUS ~
Are you pregnant or gave birth in the last 6 weeks? *
Do you have any health or medical conditions that may affect your ability to participate fully and safely in this program? *
Has any doctor or health professional advised against any form of exercise? *
Are you taking any medications? *
Do you use recreational drugs or alcohol? Please be honest.
Do you suffer from motion sickness? *
Anything else you would like us to know about you?
~ COURSE TERMS AGREEMENT ~
I understand that this course is not a retreat, it's a training, and it might be mentally and physically challenging. *
Required
I understand that as a health company, Parampara Yoga & Wind Pirates students 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 Parampara Yoga & Wind Pirates School 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 students. Disruptive, rude, or negative behaviour will not be tolerated and may result in removal from the course. *
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. *
Required
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