RYT 300 HOURS APPLICATION FORM FOR USA
How To Submit Your Application
Dhs.1,000/- non-refundable deposit is due with your application. Full payment is required no later than the start of the program. Your payment is due in full by the early registration date in order to receive the discounted rate, to activate your unlimited yoga series (if applicable).

Requirement: To apply for the 300 Hours, Gems Of Yoga welcomes graduates from all Yoga Alliance Registered 200 hour trainings into our program. Successful completion of 300 hours of RYT Modules will certify you as a 500 Hour Registered Yoga Teacher by Yoga Alliance.
Name *
Age *
Sex *
UAE Address *
Permanent Address *
Email *
Home Telephone
Mobile *
Passport No. *
D.O.I. *
D.O.E. *
Facebook Page *
Nationality *
Do you have insurance? *
Name and Contact No. of Insurance
Emergency Contact Information
Name *
Address *
Telephone *
Email *
Your relation to them? *
Have you discussed it with your family? *
On average, how long is your practice? *
What style of Yoga do you primarily practice? *
How many workshops do you attend in 3 months? *
Which yoga teacher do you follow? *
Which is the Yoga Alliance Certified School from which you have a Certificate? *
Date of Completion as on Certificate
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What are the names of Yoga Alliance E-RYT Teacher who signed the certificate? *
What is the contact phone number for certifying yoga school? *
What type of meditation have you practiced and for how long? *
Please list your academic qualification with dates and degrees obtained. *
Please list any body-centered training you have completed. (ex. Massage, Therapy, Dance, Pilates)? *
Please list your current occupation. *
Are you fluent in English? *
Are you under any medical treatment for any Physical condition? *
Are you currently pregnant or have any chronic pain, physical limitation, or an illness or surgery that we should be aware of? *
IF Yes Give details:
Do you currently have: *
Yes
No
Food Allergies?
Respiratory Conditions?
Heart Condition?
Diagnosed mental health condition?
Seizures or Strokes?
Diabetes?
High blood pressure?
Injuries?
If you answered yes to any of the above, please describe fully and medication you are currently taking? *
Please list all dietary restrictions including dairy eggs, fish, meat. Please specify if you are a vegetarian or vegan? *
Why do you want to be certified as a Yoga Teacher at this time in your life? *
How do you plan to apply your yoga skills to your life and work? *
If you are an RYT 200 hours, then what teaching skills do you currently embody that would support your future work as Yoga Teacher? *
RYT 500 hrs applicants: What are your greatest strength as a Yoga Teacher? What skills you are hoping to improve by attending this training? *
How did you hear about Gems Of Yoga Teacher Training? *
Who referred you to us, if you came by referral?
Their Name:
Contact No. or E-mail
I acknowledge and confirm that the training program is of intense nature and would be challenging. I declare that I have disclosed on this form all relevant details and by submitting these details to Gems Of Yoga, I take full responsibility for myself in attending the course.
Student leaving the course before completion are required to return all their training material. The purity of the practice areas is to be maintained. Please assume responsibility for your personal property and yourself. Bank charges are the responsibility of the participant. If you withdraw from training 5 days before the training commences, a non-refundable Dhs. 1000 fees submitted with the application is non-refundable and non-transferable. The totality of your payment can be used for a next teacher training programme after deducting the one month unlimited package charge from your fees for the no. of months you attended the yoga sessions with the approval of the Gems Of Yoga Director.
I understand that as explained should I be accepted to attend the Gems Of yoga Teacher Training, I will be evaluated using these criteria. I accept by entering a date below and submitting this form, that this validates my application with an electronic signature.

Name (Signed) *
Date
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