KRI Level 1 Kundalini Teacher Training -Indianapolis, Indiana
Level One Application - $350 non-refundable deposit due upon submission of application
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Email *
Today's date *
Full Legal Name - First, Middle, last *
Complete Address *
Phone *
Are you currently taking Kundalini Yoga classes? *
If yes, how long? and who is your instructor?
Do you practice or teach any other forms of yoga?
Do you have a regular yoga/meditation practice? *
If yes, what form, training, or other details
Are you taking this course for certification to teach Kundalini Yoga? *
What spiritual or yoga books have you read, DVD's you have watched, or events you have attended in the last two years?
Are you currently under medical treatment for any physical or psychological condition?  If yes, please describe: *
In the past have you been under medical treatment for any physical or psychological condition?  If yes give the date and describe: *
Do you have any chronic physical limitations or disabilities?  If yes, describe: *
Are you currently pregnant or trying to get pregnant? *
Are you in recovery from a drug/alcohol addiction?  If yes, # of years in recovery *
Describe your weekly alcohol/drug consumption
Do you smoke?  If yes, how often? *
Are you taking any medications at this time?  if so, explain: *
What types of exercise or physical activities do you participate in regularly and how often? *
Do you have any medical condition which might prevent you from participating in the full Teacher Training Program?  If so, explain: *
Are you going to pay in full or do you need a payment plan *
Payment *
How will you be paying? *
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