WLYA - Wise Living Yoga Academy - Yoga TTC (200 hours) Application Form
Please fill in the form and give us your complete details for joining our Yoga TTC (200 hours/ 500 hours) - We are currently conducting courses is Chiang Mai, Thailand.
Please choose from below which batch do you want to attend.
200 hours: From 9th July to 4th August 2017 - Chiang Mai - Thailand - 5th Batch
200 hours: From 22nd Oct to 17th November 2017 - Chiang Mai - Thailand - 6th Batch
200 hours: From 26th Nov to 22nd December 2017 - Chiang Mai - Thailand - 7th Batch
200 hours: From 7th January to 2nd February 2018 - Chiang Mai - Thailand - 1st Batch
200 hours: From 11th February to 9th March 2018 - Chiang Mai - Thailand - 2nd Batch
200 hours: From 29th April to 25th May 2018 - Chiang Mai - Thailand - 3rd Batch
200 hours: From 3rd June to 29th June 2018 - Chiang Mai - Thailand - 4th Batch
200 hours: From 8th July to 3rd August 2018 - Chiang Mai - Thailand - 5th Batch
200 hours: From 21st October to 16th November 2018 - Chiang Mai - Thailand - 6th Batch
200 hours: From 25th November to 21st December 2018 - Chiang Mai - Thailand - 7th Batch
If the above dates are not suitable for you, please mention when and where would you like to attend our Yoga TTC.
Please note that we can work on a customized Yoga TTC for you if there are at least 5 people confirmed to join it.
Please tell us about yourself.
1- Full Name
4- Phone / Mobile Number
Alternative E-mail (or Facebook, etc) or any other electronic address by which we can reach you.
Important: We have experienced some of our emails 'bouncing back' especially from 'Gmail account holders'. If you don't hear from us within 2 or 3 days please check your 'junk box' and try sending us an email informing that you have not received our reply.
6- Profession / Occupation
Please let us know in which country you were born or which country you hold passport from.
8- Emergency Contact Person (Name) & Relation (e.g. mother, husband, etc)
Please provide us the details of a person we can contact in case of any unlikely situation of emergency.
9- Phone number & E-mail of Emergency Contact Person
Please include international & local codes.
10- How did you know about our Yoga Teacher Training Course?
Search Engine - Google, Yahoo, etc
Yoga Finder Website
Yoga In Asia Directory
Yogi Seeker Directory
World Yoga Network Directory
Bali Spirit Website
WLYA Facebook / Twitter
South East Asia Backpackers Magazine
South East Asia Backpackers Website
Book Yoga Retreats Website
Poster or Leaflet (Please mention the place below)
Indicated by a Friend (Please give the name below)
Please give details from above question
Address for correspondence
1- Street name and number
4 - Country
Please give us detailed information about your health condition.
1- What is your present health condition?
2- Do you have any of the following special conditions?
Please make your choice below or move to the next.
Cardiac / Hyper Tension
Orthopedic (herniated disc, joints, etc)
Asthma / Bronchitis
Costipation / Indigestion / Acidity
Surgeries (Recent or past) - Please give details
Addictions (Cigarettes, alcohol, coffee, others)
3- Health Details
If you have marked any of the above please give complete details below
4- Are you taking any medicines?
Please make your choice below
If you have marked yes to the question above please give complete details below
About Yoga - Previous Experience & Motivation
Please give us detailed information about your Yoga experience and motivations.
1- Do you have any previous experience with Yoga?
Please give details below. How Long? Which Tradition?
2 - What is your personal motivation for joining a Teacher Training program on Classical Yoga?
Any further comments
By checking the box below you confirm that you are aware and you agree with the Rules & Regulations of Wise Living Yoga Academy regarding the Code of Conduct and the Payment & Refund Policy for the Yoga Teacher Training Course.
Please return to our Course Website and read carefully the Rules & Regulations mentioned above before agreeing with it. If you don't agree with it you won't be accepted to join the course.
Yes, I agree.
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